CREOKS BEHAVIORAL HEALTH SERVICES (NPI# 1912327107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912327107 |
| Entity Type | Organization |
| Organization Name | CREOKS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
711 S Muskogee Ave Tahlequah OK 74464-4717 |
| Practice Telephone | 9182070078 |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2014-04-26 |
| Authorized Official Name | JESSICA JENELLE MCKEEHEN WOODS (CARE COORDINATOR) |
| Authorized Official Telephone | 9187720182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194152843 | Creoks Behavioral Health Services | Case Management | 608 S Wilson Ave, Okmulgee, OK 74447-6139 | 2013-09-26 |
| 1619312188 | Creoks Behavioral Health Services | Community/Behavioral Health | 1059 E 60th St, # 222, Tulsa, OK 74105-8331 | 2013-05-09 |
| 1427311687 | Creoks Behavioral Health Services | Community/Behavioral Health | 426 W Los Angeles Pl, Broken Arrow, OK 74011-4835 | 2012-06-21 |
| 1487867263 | Creoks Behavioral Health Services | Community/Behavioral Health | 2455 N Boston Pl, Tulsa, OK 74106-3610 | 2007-05-08 |
| 1447812029 | Creoks Behavioral Health Services | Clinic/Center | 1500 N 6th St, Ponca City, OK 74601-2827 | 2019-07-03 |
| 1558815936 | Creoks Behavioral Health Services | Case Management | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2016-08-15 |
| 1609164490 | Creoks Behavioral Health Services | Community/Behavioral Health | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2011-07-14 |
| 1821257940 | Creoks Behavioral Health Services | Case Management | 209 W Broadway St, Okemah, OK 74859-2618 | 2008-06-04 |
| 1841479110 | Creoks Behavioral Health Services | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2007-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREOKS BEHAVIORAL HEALTH SERVICES | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
| Street Address |
711 S MUSKOGEE AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043331499 | Creoks Mental Health Services | Community/Behavioral Health | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2007-04-03 |
| 1902403702 | Millissa Kae Robinson | Peer Specialist | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2020-10-05 |
| 1154947919 | Jennifer Ann Ruppel | Case Manager/Care Coordinator | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2020-06-17 |
| 1982238457 | Dawn Johnson | Counselor | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2020-02-24 |
| 1043850829 | Corey A Thornton | Counselor | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2020-01-09 |
| 1336785211 | Cortnie Cox | Case Manager/Care Coordinator | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2019-11-26 |
| 1851940324 | Christian Denell Riley | Behavioral Analyst | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2019-09-08 |
| 1134776008 | Martha J Smith | Registered Nurse | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2019-08-24 |
| 1700349883 | Heather Marie Askew | Peer Specialist | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2019-04-07 |
| 1124589395 | Ashlee Kay Morton | Case Manager/Care Coordinator | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245654292 | Improving Lives Counseling Services, Inc | Case Management | 308 E Downing St, Tahlequah, OK 74464-3014 | 2014-02-11 |
| 1295967131 | Cornerstone Health Care Resources, LLC | Case Management | 1699 W 4th St, Tahlequah, OK 74464-5065 | 2009-08-11 |
| 1710985080 | Cherokee Nation Home Health Outreach | Case Management | 2061 Mahaney Ave, Tahlequah, OK 74464-5731 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618758 | Jonathan Nyanquoi Nyanyoun | Case Management | 12508 E 34th St, Tulsa, OK 74146-2218 | 2020-10-30 |
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1750997680 | Vanessa Flores | Case Management | 13177 Ne Tony Creek Rd, Elgin, OK 73538-2006 | 2020-09-16 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1003430497 | Meals On Wheels of Metro Tulsa, Inc. | Case Management | 12620 E 31st St, Tulsa, OK 74146-2307 | 2020-06-02 |
| 1972137107 | Delayna Lynne Marion | Case Management | 109902 S 4570 Rd, Sallisaw, OK 74955-5086 | 2020-02-26 |
| 1649802679 | Amee Renae Brown | Case Management | 9225 E 570 Rd, Kansas, OK 74347-1620 | 2020-02-07 |
| 1780223453 | 20th District Drug Court | Case Management | 39 N Washington St Ste 219, Ardmore, OK 73401-7056 | 2019-12-30 |
| 1528629813 | Medefy Health LLC | Case Management | 8596 E 101st St Ste C, Tulsa, OK 74133-7037 | 2019-06-26 |
| 1033778287 | Sheena M Spies | Case Management | 816 W Oakland St, Broken Arrow, OK 74012-1662 | 2019-06-11 |
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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.