RENEGADE COUNSELING, PLLC (NPI# 1902285877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902285877 |
| Entity Type | Organization |
| Organization Name | RENEGADE COUNSELING, PLLC |
| Practice Address |
809-b South Birch Street Muldrow OK 74948 |
| Mailing Address |
Po Box 262 Muldrow OK 74948-0262 |
| Practice Telephone | 9184273944 |
| Mailing Telephone | 9184273944 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MR. ROBBY GENE PLYMALE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9184273944 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5354 | OK | Agencies |
| Street Address |
809-B SOUTH BIRCH STREET |
| City | MULDROW |
| State | OK |
| Zip Code | 74948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676633 | Nikki Earnhart | Speech-Language Pathologist | 2314 E. Shawntel Smith, Muldrow, OK 74948 | 2012-07-19 |
| 1467771881 | Cathy Wood | Counselor | 473101 E 1127 Rd, Muldrow, OK 74948 | 2010-05-25 |
| 1720206576 | Andrea J Self | Pharmacist | 710 E Shawntell Smith Blvd, Muldrow, OK 74948 | 2007-04-24 |
| 1780603134 | Premier Home Health Care, Inc. | Home Health | 1016 E. Shawntel Smith Boulevard, Suite 2, Muldrow, OK 74948 | 2006-07-18 |
| 1386634905 | Bennie Frank Cheek | Family Medicine | 710 E Shawntel Smith Blvd, Suite B, Muldrow, OK 74948 | 2005-10-25 |
| 1558580316 | Muldrow Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 710 E Shawntel Smith Blvd, Muldrow, OK 74948 | 2007-04-24 |
| 1578656732 | Broadway Corner Drug | Pharmacy | 101 E Shawntel Smith Blvd, Muldrow, OK 74948 | 2006-10-02 |
| 1033245733 | Don R. Morton | Dentist | 310 East Shawntel Smith Blvd., Muldrow, OK 74948-0409 | 2007-02-26 |
| 1902860471 | Muldrow Public School | Public Health or Welfare | 715 West Shawntel Smith Blvd., Muldrow, OK 74948-0660 | 2006-04-13 |
| 1447320502 | Muldrow Pharmacy Inc. | Pharmacy | 710 E Shawntel Smith Blvd, Muldrow, OK 74948-1109 | 2006-11-08 |
| Find all providers in zip 74948 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.