| Creoks Mental Health Services | |
|
4103 S Yale Ave Ste B Tulsa OK 74135-6002 | |
| (918) 382-7300 | |
| Not Available |
| Full Name | Creoks Mental Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4103 S Yale Ave Ste B, Tulsa, Oklahoma |
| Authorized Official Name and Position | Brent M. Black (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9187569411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creoks Mental Health Services 4103 S Yale Ave Ste B Tulsa OK 74135-6002 Ph: (918) 382-7300 | Creoks Mental Health Services 4103 S Yale Ave Ste B Tulsa OK 74135-6002 Ph: (918) 382-7300 |
| NPI Number | 1841311289 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Medicare PECOS PAC ID | 0749591469 |
|---|---|
| Medicare Enrollment ID | O20161101000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841311289 | NPI | - | NPPES |
| 100734620J | Medicaid | OK | |
| 100734620H | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100734620H (Oklahoma) | Primary |
| Provider Name | Joyce Bumgardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497815187 PECOS PAC ID: 0840189163 Enrollment ID: I20040315000195 |
| Provider Name | Stacy E Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770572091 PECOS PAC ID: 8820034358 Enrollment ID: I20050908000091 |
| Provider Name | Dawn Marie Lafromboise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497818926 PECOS PAC ID: 7618991415 Enrollment ID: I20060126000873 |
| Provider Name | Satwant Tandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457414617 PECOS PAC ID: 6406824325 Enrollment ID: I20090305000113 |
| Provider Name | Bert Eric Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649221177 PECOS PAC ID: 3072709989 Enrollment ID: I20101117001567 |
| Provider Name | George Michael Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144392804 PECOS PAC ID: 3870768864 Enrollment ID: I20111201000689 |
| Provider Name | Terrah L Manes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043415474 PECOS PAC ID: 0345474342 Enrollment ID: I20131007000444 |
| Provider Name | William B Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578524963 PECOS PAC ID: 9335367853 Enrollment ID: I20140826000397 |
| Provider Name | Mary R Kreilaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417100439 PECOS PAC ID: 2365766193 Enrollment ID: I20150126001856 |
| Provider Name | Kama R Gettings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477072460 PECOS PAC ID: 0648536466 Enrollment ID: I20171113000131 |
| Provider Name | Karen Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679813349 PECOS PAC ID: 0941562748 Enrollment ID: I20180314001457 |
| Provider Name | Adriana Cristina Tucker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689138471 PECOS PAC ID: 0547509341 Enrollment ID: I20190221001965 |
| Provider Name | Julie A Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932481579 PECOS PAC ID: 6406196302 Enrollment ID: I20190312002345 |
| Provider Name | Laurie Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861276 PECOS PAC ID: 1759667868 Enrollment ID: I20200313001796 |
| Provider Name | Huong M Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915324 PECOS PAC ID: 4082002613 Enrollment ID: I20211101000302 |
| Provider Name | Gabrielle Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699366534 PECOS PAC ID: 5294144994 Enrollment ID: I20230616003406 |
| Provider Name | Misty Bilby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962870048 PECOS PAC ID: 5092169698 Enrollment ID: I20231002000776 |
| Provider Name | Denise Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720403256 PECOS PAC ID: 6406201441 Enrollment ID: I20231011004013 |
| Provider Name | Adam King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871966416 PECOS PAC ID: 7618322256 Enrollment ID: I20231017001442 |
| Provider Name | Meghan Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750739231 PECOS PAC ID: 3173979549 Enrollment ID: I20231023001023 |
| Provider Name | Melissa Slape |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548792237 PECOS PAC ID: 7810343035 Enrollment ID: I20231025000096 |
| Provider Name | Breandan Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841554821 PECOS PAC ID: 2567818644 Enrollment ID: I20231025002691 |
| Provider Name | Maria Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245616994 PECOS PAC ID: 0840646667 Enrollment ID: I20231030002615 |
| Provider Name | Chantri Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497177117 PECOS PAC ID: 9931555760 Enrollment ID: I20231030003136 |
| Provider Name | Marna Gonzalez Schmenk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285242735 PECOS PAC ID: 7113373770 Enrollment ID: I20231102001452 |
| Provider Name | Rachel Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700040862 PECOS PAC ID: 7618324146 Enrollment ID: I20231106001593 |
| Provider Name | Alexis Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649883885 PECOS PAC ID: 1153778568 Enrollment ID: I20231107001542 |
| Provider Name | Jacqueline Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689876757 PECOS PAC ID: 3375990146 Enrollment ID: I20231116000135 |
| Provider Name | Jillian Janer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609490416 PECOS PAC ID: 1355798067 Enrollment ID: I20231116002115 |
| Provider Name | Corey Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043850829 PECOS PAC ID: 7012364706 Enrollment ID: I20231117001767 |
| Provider Name | Margaret Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316555345 PECOS PAC ID: 3173970860 Enrollment ID: I20231117001913 |
| Provider Name | Ashley M Seck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396306635 PECOS PAC ID: 0547618142 Enrollment ID: I20231120002943 |
| Provider Name | Lisa Waddell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023610276 PECOS PAC ID: 0345698916 Enrollment ID: I20231121002225 |
| Provider Name | Stephanie Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114648714 PECOS PAC ID: 6204284706 Enrollment ID: I20231122000181 |
| Provider Name | Katherine Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912271479 PECOS PAC ID: 7416305925 Enrollment ID: I20231122000419 |
| Provider Name | Carolyn Rae Parks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306131750 PECOS PAC ID: 9739525296 Enrollment ID: I20240307001035 |
| Provider Name | Heather Dawn Gilliam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558964353 PECOS PAC ID: 0648616045 Enrollment ID: I20240307002549 |
| Provider Name | Adam Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093254641 PECOS PAC ID: 6901242155 Enrollment ID: I20240311000013 |
| Provider Name | Lindsey Cloren Shreve Fielding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639596323 PECOS PAC ID: 8729426960 Enrollment ID: I20240405002611 |
| Provider Name | Mary Elaine Marlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871008565 PECOS PAC ID: 7214375450 Enrollment ID: I20240405002868 |
| Provider Name | Sharolyn Jan Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952488124 PECOS PAC ID: 0143668269 Enrollment ID: I20240409000392 |
| Provider Name | Chris Dhoku |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932430915 PECOS PAC ID: 9830538958 Enrollment ID: I20240422001870 |
| Provider Name | Jennifer Blondell Woolett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437422706 PECOS PAC ID: 3779924329 Enrollment ID: I20240514000645 |
| Provider Name | Kellyn Hampton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497059968 PECOS PAC ID: 0042651606 Enrollment ID: I20240514001048 |
| Provider Name | Deborah Tiger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770011389 PECOS PAC ID: 9830530427 Enrollment ID: I20240514002097 |
| Provider Name | K'lynne Michele Escott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083734495 PECOS PAC ID: 3173964798 Enrollment ID: I20240514003404 |
| Provider Name | Jeanine Vest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306343546 PECOS PAC ID: 4880035302 Enrollment ID: I20240515002899 |
| Provider Name | Brenda Kaye Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609068501 PECOS PAC ID: 1355782772 Enrollment ID: I20240515003223 |
| Provider Name | Leta Michelle Stanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184055816 PECOS PAC ID: 3779026349 Enrollment ID: I20240624003847 |
| Provider Name | Jamie Carrels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659797900 PECOS PAC ID: 0941747372 Enrollment ID: I20240802003472 |
| Provider Name | Jaryn Linney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134459555 PECOS PAC ID: 2365982253 Enrollment ID: I20240905004267 |
| Provider Name | Kim Stanford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194170134 PECOS PAC ID: 1557801453 Enrollment ID: I20240905004752 |
| Provider Name | Cynthia David |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558624676 PECOS PAC ID: 8022558279 Enrollment ID: I20240913002818 |
| Provider Name | Qinghe Liu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558014779 PECOS PAC ID: 1850826256 Enrollment ID: I20241121004041 |
| Provider Name | Tamara Laakso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467176545 PECOS PAC ID: 2062947203 Enrollment ID: I20241125000815 |
| Provider Name | Wuyinga Shen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871202747 PECOS PAC ID: 1759817356 Enrollment ID: I20241205003621 |
| Provider Name | Jasmine Womack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063082766 PECOS PAC ID: 5597294967 Enrollment ID: I20250130000562 |
| Provider Name | Rebecca Klutts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194332957 PECOS PAC ID: 9537680624 Enrollment ID: I20250305002213 |
| Provider Name | Cynthia Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295114551 PECOS PAC ID: 6608390182 Enrollment ID: I20250407000050 |
| Provider Name | Thomas George Wolff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346275609 PECOS PAC ID: 2769991413 Enrollment ID: I20250603003978 |
| Provider Name | Jacqueline Flaherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245623461 PECOS PAC ID: 6901316157 Enrollment ID: I20250606003606 |
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