MR. JACOB AUSTIN SLAGLE


Address: 807 Sw F Ave, Lawton, OK 73501-4506
Phone: 5805911912

MR. JACOB AUSTIN SLAGLE (NPI# 1942574793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942574793
Entity Type Individual
Full Name MR. JACOB AUSTIN SLAGLE
Credential MSBS
Practice Address 807 Sw F Ave
Lawton
OK 73501-4506
Mailing Address 1908 Nw Liberty Ave
Lawton
OK 73507-5029
Practice Telephone 5805911912
Mailing Telephone 5805911912
Enumeration Date 2012-02-25
Last Update Date 2013-06-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TR0400X Psychologist
Specialization: Rehabilitation
OK Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist OK Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers JACOB SLAGLE

NPI Name Taxonomy Address Enumeration
1154965879 Jacob Slagle Counselor 134 Infield Ct, Mooresville, NC 28117-8026 2019-11-06

Office Location

Street Address 807 SW F AVE
City LAWTON
State OK
Zip Code 73501-4506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184786238 Cornerstone Clinical Services, Inc Community/Behavioral Health 807 Sw F Ave, Lawton, OK 73501-4506 2006-12-15
1013556588 Rhianna Marie Gwoompi Peer Specialist 807 Sw F Ave, Lawton, OK 73501-4506 2020-01-02
1487290425 Anna Ellen Silverhorn Case Manager/Care Coordinator 807 Sw F Ave, Lawton, OK 73501-4506 2019-11-25
1881184794 Teresa Biffle Counselor 807 Sw F Ave, Lawton, OK 73501-4506 2018-05-16
1093239618 Beonica Henry Case Manager/Care Coordinator 807 Sw F Ave, Lawton, OK 73501-4506 2017-07-26
1497299473 Alexis Grant Marriage & Family Therapist 807 Sw F Ave, Lawton, OK 73501-4506 2016-12-12
1841650769 Ryan Payne Counselor 807 Sw F Ave, Lawton, OK 73501-4506 2016-03-04
1437539194 Amanda Schroeder Social Worker 807 Sw F Ave, Lawton, OK 73501-4506 2015-06-08
1447630215 Ashley Elizabeth Miller Marriage & Family Therapist 807 Sw F Ave, Lawton, OK 73501-4506 2015-06-05
1073905501 Gloria Weary Counselor 807 Sw F Ave, Lawton, OK 73501-4506 2015-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811596729 Alyssa K Manfredi Speech-Language Pathologist 1700 Nw Lee Blvd, Lawton, OK 73501 2020-10-21
1295079705 Premier Behavorial Health Community/Behavioral Health 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 2012-11-21
1306156989 Diana Nix Licensed Practical Nurse 611 Sw B Ave, Lawton, OK 73501 2010-10-15
1689993214 Crystal Leday Physical Therapy Assistant 602 S.e. Wallock, Lawton, OK 73501 2010-05-21
1457679862 Gary Dean Gardner Dentist 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 2010-05-10
1962729848 Tayler Gammon Hearing Instrument Specialist 423 S.w. C Ave, Lawton, OK 73501 2010-04-30
1932430725 Eric B Carpenter Sr. Counselor 807 Sw F Avenue, Lawton, OK 73501 2010-01-19
1447487640 Benjamin Llanos Counselor 1719 Sw 11th, Lawton, OK 73501 2009-06-15
1710122833 Provide Hearing Aids Public Health or Welfare 1201 West Gore Blvd, Suite D, Lawton, OK 73501 2008-12-03
1053506121 Mercer Beauty Supply Orthotic Fitter 1016 Sw D Ave, Lawton, OK 73501 2007-09-11
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033727581 Jennifer Baker, Lmft, LLC Marriage & Family Therapist 6425 Nw Cache Rd Ste 215, Lawton, OK 73505-3393 2020-07-21
1942659743 Two Swans Counseling Service, P.l.l.c. Marriage & Family Therapist 711 Sw D Ave Ste 203, Lawton, OK 73501-4561 2016-06-13
1164822342 Kahealani Dingle Marriage & Family Therapist 6952 Sw Forest Ave, Lawton, OK 73505-6630 2014-08-25
1316380371 Andrea Boston Marriage & Family Therapist 5 Nw 16th St Ste 10c, Lawton, OK 73507-6400 2013-04-09
1043558869 Hope Stephens Marriage & Family Therapist 2913 Ne Bellevue Cir, Lawton, OK 73507-7116 2013-01-29
1407190861 Vance H. Durham Marriage & Family Therapist 3101 Ne Brentwood Dr, Lawton, OK 73507-1909 2012-11-24
1285925610 Stephanie Roebuck Marriage & Family Therapist 2215 Nw Cache Rd Ste 107, Lawton, OK 73505-5258 2011-04-19
1992019111 Joe R. Williams Jr. Marriage & Family Therapist 2215 Nw Cache Rd, Suite 107, Lawton, OK 73505-5239 2010-07-29
1366627465 Bob Hartley Marriage & Family Therapist 2305 Redwood Lane, Lawton, OK 73505-1310 2008-01-08
1891721791 Joanni Sailor Marriage & Family Therapist 1002 W. Gore Blvd., Lawton, OK 73501 2006-06-23
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Competitor

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City LAWTON
Zip Code 73501

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Dataset Information

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.

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