| Community Pathways Unlimited Inc | |
|
4045 Nw 64th St Ste 520 Oklahoma City OK 73116-8608 | |
| (405) 842-4911 | |
| Not Available |
| Full Name | Community Pathways Unlimited Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4045 Nw 64th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Pamela Kay Dyer (DIRECTOR OF OPERATINS) |
| Authorized Official Contact | 4058424911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Pathways Unlimited Inc 4045 Nw 64th St Ste 520 Oklahoma City OK 73116-8608 Ph: (405) 842-4911 | Community Pathways Unlimited Inc 4045 Nw 64th St Ste 520 Oklahoma City OK 73116-8608 Ph: (405) 842-4911 |
| NPI Number | 1659328284 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 6608776349 |
|---|---|
| Medicare Enrollment ID | O20040109001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659328284 | NPI | - | NPPES |
| DD4662 | Other | OK | RAILROAD MEDICARE |
| 100744820A | Medicaid | OK | |
| 442366315001 | Other | OK | OUTPT MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 260 (Oklahoma) | Primary |
| Provider Name | Megan E Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265538243 PECOS PAC ID: 6800788456 Enrollment ID: I20040327000251 |
| Provider Name | Tempie J Nichols-rood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487775482 PECOS PAC ID: 1850380056 Enrollment ID: I20040512000070 |
| Provider Name | Ronald D Marlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457457624 PECOS PAC ID: 0547241879 Enrollment ID: I20040525000169 |
| Provider Name | Donna M Benadum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144326778 PECOS PAC ID: 0042299786 Enrollment ID: I20040716000365 |
| Provider Name | Mary P Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235167057 PECOS PAC ID: 3577504711 Enrollment ID: I20050608000269 |
| Provider Name | Cathy L Krausse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922188283 PECOS PAC ID: 9234154311 Enrollment ID: I20051007000394 |
| Provider Name | Taryn N Ledford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871536433 PECOS PAC ID: 2264537406 Enrollment ID: I20070418000121 |
| Provider Name | Therese M Klopfenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205018975 PECOS PAC ID: 1254417934 Enrollment ID: I20080320000233 |
| Provider Name | David G Calenzani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659390284 PECOS PAC ID: 8224194634 Enrollment ID: I20090311000096 |
| Provider Name | Deborah K. Mcfarlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710094743 PECOS PAC ID: 4688714942 Enrollment ID: I20091216000645 |
| Provider Name | Judy M Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720390636 PECOS PAC ID: 2466578570 Enrollment ID: I20100927000670 |
| Provider Name | Diane J Vinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710922216 PECOS PAC ID: 0446443527 Enrollment ID: I20101021000422 |
| Provider Name | Cynthia L. Kauppila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316043508 PECOS PAC ID: 3173692258 Enrollment ID: I20101129000383 |
| Provider Name | Patrick B Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184907149 PECOS PAC ID: 4587838859 Enrollment ID: I20111123000033 |
| Provider Name | Mary M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992055982 PECOS PAC ID: 1850541178 Enrollment ID: I20121023000435 |
| Provider Name | Kristin M Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780949883 PECOS PAC ID: 6002055738 Enrollment ID: I20130610000483 |
| Provider Name | Lauren Harjo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447562301 PECOS PAC ID: 8729229968 Enrollment ID: I20130730000744 |
| Provider Name | Sharon R. Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770907701 PECOS PAC ID: 6608009857 Enrollment ID: I20140424000476 |
| Provider Name | Sarah Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770994683 PECOS PAC ID: 9537384367 Enrollment ID: I20140710000655 |
| Provider Name | Vickie V Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497049050 PECOS PAC ID: 3072733385 Enrollment ID: I20141009000822 |
| Provider Name | Cara D Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134366537 PECOS PAC ID: 2062734213 Enrollment ID: I20141125002362 |
| Provider Name | Ivora P Sensibaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730474073 PECOS PAC ID: 3173846532 Enrollment ID: I20141216002452 |
| Provider Name | Tiffany N Tottress |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023245800 PECOS PAC ID: 3375867898 Enrollment ID: I20150109001583 |
| Provider Name | Kathy Ridgway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508994138 PECOS PAC ID: 4284959321 Enrollment ID: I20150211001725 |
| Provider Name | Loretta M Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073831046 PECOS PAC ID: 5294050191 Enrollment ID: I20150218000747 |
| Provider Name | William H Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437587789 PECOS PAC ID: 0648590703 Enrollment ID: I20150513002422 |
| Provider Name | Kelli D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316149115 PECOS PAC ID: 0547580011 Enrollment ID: I20150522002178 |
| Provider Name | Rochelle R Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154531226 PECOS PAC ID: 6204144207 Enrollment ID: I20150924001092 |
| Provider Name | Karla J Kemph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932579935 PECOS PAC ID: 3476863705 Enrollment ID: I20151117000396 |
| Provider Name | Joanna M Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003130790 PECOS PAC ID: 6901107127 Enrollment ID: I20151214000398 |
| Provider Name | Andrea D Holley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679796189 PECOS PAC ID: 0143525352 Enrollment ID: I20160225002660 |
| Provider Name | Stephanie A Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336574334 PECOS PAC ID: 7810295565 Enrollment ID: I20160412002776 |
| Provider Name | Shettra M Snowball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992029672 PECOS PAC ID: 8921306648 Enrollment ID: I20160413002096 |
| Provider Name | Angela D Shandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043490329 PECOS PAC ID: 6103119722 Enrollment ID: I20160720000270 |
| Provider Name | Alexa M Smith Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841451457 PECOS PAC ID: 1658644638 Enrollment ID: I20170913003612 |
| Provider Name | Jenny A Folsom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407191075 PECOS PAC ID: 8426312018 Enrollment ID: I20180508000149 |
| Provider Name | Alisa A Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194063610 PECOS PAC ID: 6507120904 Enrollment ID: I20180511001328 |
| Provider Name | Francis P Jette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417900341 PECOS PAC ID: 3375951106 Enrollment ID: I20210416000190 |
| Provider Name | Shanna A Sears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407104896 PECOS PAC ID: 0446668271 Enrollment ID: I20210416000259 |
| Provider Name | Danica M Lott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922462340 PECOS PAC ID: 9638432180 Enrollment ID: I20210429000245 |
| Provider Name | Anais Bustamante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902217516 PECOS PAC ID: 0547667503 Enrollment ID: I20210920000421 |
| Provider Name | Herlinda L Aleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831293430 PECOS PAC ID: 7214334192 Enrollment ID: I20210920001580 |
| Provider Name | Angelica M Exinia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487866257 PECOS PAC ID: 3678961992 Enrollment ID: I20211019001839 |
| Provider Name | Darlyn R Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942753553 PECOS PAC ID: 7719372416 Enrollment ID: I20220316000647 |
| Provider Name | Rose M Ponder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235788050 PECOS PAC ID: 0547213423 Enrollment ID: I20220526000462 |
| Provider Name | Jeremy S Aragon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760723811 PECOS PAC ID: 8022485895 Enrollment ID: I20221108000699 |
| Provider Name | Pamela Y Pensoneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497195283 PECOS PAC ID: 5496110991 Enrollment ID: I20230506000184 |
| Provider Name | Ashley R Treadway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750589545 PECOS PAC ID: 6305206046 Enrollment ID: I20230713001332 |
| Provider Name | Oteasa R Gist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174142194 PECOS PAC ID: 1153783675 Enrollment ID: I20230816000688 |
| Provider Name | Traci L Schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174239214 PECOS PAC ID: 2163896093 Enrollment ID: I20231024001168 |
| Provider Name | Deanna B Moslander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376889378 PECOS PAC ID: 4486044187 Enrollment ID: I20231115000039 |
| Provider Name | Ladonna D Harden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780966739 PECOS PAC ID: 3678923596 Enrollment ID: I20231219000925 |
| Provider Name | Ryan D Randleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730498767 PECOS PAC ID: 8628428182 Enrollment ID: I20231222003115 |
| Provider Name | Felicia L Mcgowin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962828442 PECOS PAC ID: 8527418086 Enrollment ID: I20231222003157 |
| Provider Name | Heather D Templeton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932591708 PECOS PAC ID: 7416307947 Enrollment ID: I20231227000026 |
| Provider Name | Julie A Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679767156 PECOS PAC ID: 3577913987 Enrollment ID: I20231227003260 |
| Provider Name | Galela A Leckie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144597311 PECOS PAC ID: 8527418532 Enrollment ID: I20240103000067 |
| Provider Name | Charles A Fields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023576162 PECOS PAC ID: 1951715655 Enrollment ID: I20240103000151 |
| Provider Name | Cynthia D Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356653885 PECOS PAC ID: 2668822677 Enrollment ID: I20240103000200 |
| Provider Name | Brenda J Leftwich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215277322 PECOS PAC ID: 5597116541 Enrollment ID: I20240104000387 |
| Provider Name | James F Osborne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922245877 PECOS PAC ID: 6901257856 Enrollment ID: I20240104004583 |
| Provider Name | Elisia L Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033469796 PECOS PAC ID: 3870944739 Enrollment ID: I20240104004734 |
| Provider Name | Annette Davenport |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972771277 PECOS PAC ID: 8224489182 Enrollment ID: I20240104004751 |
| Provider Name | Brook S Beavers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982127395 PECOS PAC ID: 1951752815 Enrollment ID: I20240104004762 |
| Provider Name | Daniel J Bruesch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902352545 PECOS PAC ID: 9335590710 Enrollment ID: I20240110002166 |
| Provider Name | Brenda S Bause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083632004 PECOS PAC ID: 6800247032 Enrollment ID: I20240111002879 |
| Provider Name | Jennifer F Guerra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265725667 PECOS PAC ID: 1850743741 Enrollment ID: I20240116003535 |
| Provider Name | Joan Eileen Garvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558507244 PECOS PAC ID: 0648622365 Enrollment ID: I20240118002209 |
| Provider Name | Lesia J Foerster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679867493 PECOS PAC ID: 1951753318 Enrollment ID: I20240122001958 |
| Provider Name | Susan R Youngblood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225245046 PECOS PAC ID: 9739532797 Enrollment ID: I20240126001006 |
| Provider Name | Cathy L Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083820500 PECOS PAC ID: 1759734528 Enrollment ID: I20240129000691 |
| Provider Name | David W Peace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679795124 PECOS PAC ID: 1658724430 Enrollment ID: I20240129000776 |
| Provider Name | Tommie J Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497825822 PECOS PAC ID: 7911350798 Enrollment ID: I20240129000791 |
| Provider Name | Edie D Grizzle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841550183 PECOS PAC ID: 4284087065 Enrollment ID: I20240129000806 |
| Provider Name | Belinda R Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417115890 PECOS PAC ID: 8022901776 Enrollment ID: I20240129001656 |
| Provider Name | Amanda L Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760891295 PECOS PAC ID: 0345683306 Enrollment ID: I20240206003745 |
| Provider Name | Mylinda R Fanj |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255617015 PECOS PAC ID: 3577906536 Enrollment ID: I20240206003942 |
| Provider Name | Melda G Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093045759 PECOS PAC ID: 9234572108 Enrollment ID: I20240207002749 |
| Provider Name | Jacquelyn L Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780936161 PECOS PAC ID: 0244673127 Enrollment ID: I20240207003117 |
| Provider Name | Roger B Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497309934 PECOS PAC ID: 6103269097 Enrollment ID: I20240207003321 |
| Provider Name | Rebecca A Welborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770940298 PECOS PAC ID: 8729421581 Enrollment ID: I20240208001543 |
| Provider Name | Stephanie A Belle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033483268 PECOS PAC ID: 5496198285 Enrollment ID: I20240208002473 |
| Provider Name | Amy N Pringle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427363894 PECOS PAC ID: 5597109298 Enrollment ID: I20240221002928 |
| Provider Name | James P Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437483641 PECOS PAC ID: 0547605602 Enrollment ID: I20240228001824 |
| Provider Name | Lorena A Hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598082216 PECOS PAC ID: 1456796473 Enrollment ID: I20240229003162 |
| Provider Name | Amy L Bottomly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922302777 PECOS PAC ID: 2860838182 Enrollment ID: I20240308002908 |
| Provider Name | Andra L Wingo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306271663 PECOS PAC ID: 3274973276 Enrollment ID: I20240424001470 |
| Provider Name | Sharon K Billings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669252508 PECOS PAC ID: 9436590171 Enrollment ID: I20240513003445 |
| Provider Name | Teresa W Kennison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083919179 PECOS PAC ID: 7810339371 Enrollment ID: I20240529002763 |
| Provider Name | Bridgett S Sims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689906158 PECOS PAC ID: 0345782447 Enrollment ID: I20240604003626 |
| Provider Name | Shannon A Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588093132 PECOS PAC ID: 7517406168 Enrollment ID: I20240827001506 |
| Provider Name | Lauren D Byars-griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245571322 PECOS PAC ID: 4385185024 Enrollment ID: I20240920001656 |
| Provider Name | Demna L Bourland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760718803 PECOS PAC ID: 1658806351 Enrollment ID: I20241118003616 |
| Provider Name | Christopher William Nash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972028223 PECOS PAC ID: 8224564455 Enrollment ID: I20241211000133 |
| Provider Name | Rebecca M Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033724745 PECOS PAC ID: 6204365620 Enrollment ID: I20250129002292 |
| Provider Name | Rebekah S Hooker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093098378 PECOS PAC ID: 2264953942 Enrollment ID: I20250311001029 |
| Provider Name | Mindy M Fancher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295085033 PECOS PAC ID: 4486178449 Enrollment ID: I20250411000277 |
Innovative Community Resource Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Nw 58th St Ste 870e, Oklahoma City, OK 73112 Phone: 405-205-8346 | |
Ohh Physicians South, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 E I 240 Service Rd, Oklahoma City, OK 73135 Phone: 405-628-6000 | |
Nami Oklahoma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 N Drexel Blvd, Oklahoma City, OK 73107 Phone: 405-230-1900 Fax: 405-230-1903 | |
Gabriel M Pitman Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Sw 80th St, Suite 201, Oklahoma City, OK 73109 Phone: 405-632-9090 Fax: 405-632-9097 | |
Quality Counseling & Intervention Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Classen Blvd, Suite 311, Oklahoma City, OK 73106 Phone: 405-702-0502 Fax: 405-702-0502 | |
Building Up People Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Nw Expressway, 531, Oklahoma City, OK 73112 Phone: 405-242-5031 | |
Couseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 N Classen Blvd, Suite 200, Oklahoma City, OK 73118 Phone: 913-481-5387 |