| Red Rock Behavioral Health Services | |
|
4400 N Lincoln Blvd Oklahoma City OK 73105-5104 | |
| (405) 424-7711 | |
| (405) 425-0343 |
| Full Name | Red Rock Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 4400 N Lincoln Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Angi Maxwell-duverger (MANAGER, CREDENTIALING) |
| Authorized Official Contact | 4054250428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Behavioral Health Services 4400 N Lincoln Blvd Oklahoma City OK 73105-5104 Ph: (405) 424-7711 | Red Rock Behavioral Health Services 4400 N Lincoln Blvd Oklahoma City OK 73105-5104 Ph: (405) 424-7711 |
| NPI Number | 1275574907 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 3173514387 |
|---|---|
| Medicare Enrollment ID | O20040518001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275574907 | NPI | - | NPPES |
| 100635250C | Medicaid | OK |
| Provider Name | Rajeswara Bhupathiraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578599916 PECOS PAC ID: 8628966793 Enrollment ID: I20040310001011 |
| Provider Name | Wendell L Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588656292 PECOS PAC ID: 1355330077 Enrollment ID: I20040520001589 |
| Provider Name | Steven W Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487664785 PECOS PAC ID: 4789669870 Enrollment ID: I20040622001550 |
| Provider Name | Debbie Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043325160 PECOS PAC ID: 9739169616 Enrollment ID: I20040721001404 |
| Provider Name | Vincel R Cordry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750359311 PECOS PAC ID: 2567432180 Enrollment ID: I20040729001135 |
| Provider Name | David G Blackshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316905433 PECOS PAC ID: 2961466693 Enrollment ID: I20041112000935 |
| Provider Name | Vivian G Hasbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225101215 PECOS PAC ID: 8628026085 Enrollment ID: I20050112000392 |
| Provider Name | Peteryne D Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720026362 PECOS PAC ID: 9537172556 Enrollment ID: I20060721000058 |
| Provider Name | Lori Hake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023106267 PECOS PAC ID: 8022112341 Enrollment ID: I20070327000144 |
| Provider Name | Debra A Mccullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801967260 PECOS PAC ID: 1456458165 Enrollment ID: I20070515000007 |
| Provider Name | Chariny Herring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285640102 PECOS PAC ID: 8628178738 Enrollment ID: I20070702000548 |
| Provider Name | Julia Sheppard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508051053 PECOS PAC ID: 0042300675 Enrollment ID: I20071219000363 |
| Provider Name | Ashok Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003987611 PECOS PAC ID: 9133282429 Enrollment ID: I20090113000532 |
| Provider Name | Richard Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639110752 PECOS PAC ID: 4688692841 Enrollment ID: I20090121000656 |
| Provider Name | Martha W Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811031016 PECOS PAC ID: 5294871182 Enrollment ID: I20091007000072 |
| Provider Name | Justina R Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932384062 PECOS PAC ID: 7012043938 Enrollment ID: I20100330001288 |
| Provider Name | Fadalia D Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285860643 PECOS PAC ID: 8628265048 Enrollment ID: I20101211000101 |
| Provider Name | Dukheh Ahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255342416 PECOS PAC ID: 0547459133 Enrollment ID: I20110113000221 |
| Provider Name | Mary E Carey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669471181 PECOS PAC ID: 0244363752 Enrollment ID: I20110414000843 |
| Provider Name | Brett I Cunningham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730315193 PECOS PAC ID: 8820245558 Enrollment ID: I20120830000670 |
| Provider Name | Donna S. Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962614982 PECOS PAC ID: 1254512536 Enrollment ID: I20130206000302 |
| Provider Name | Susan Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801134390 PECOS PAC ID: 5395980577 Enrollment ID: I20130315000328 |
| Provider Name | Kent Alan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573508 PECOS PAC ID: 9032332390 Enrollment ID: I20140514001512 |
| Provider Name | Kathryn A Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699887265 PECOS PAC ID: 6002090982 Enrollment ID: I20140806002033 |
| Provider Name | Brandie A Strange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102616 PECOS PAC ID: 2769612647 Enrollment ID: I20141027001210 |
| Provider Name | Donald J Curran |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1922056746 PECOS PAC ID: 2961315031 Enrollment ID: I20150515001570 |
| 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 | Vimala Sekar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710926597 PECOS PAC ID: 7012171788 Enrollment ID: I20150803002570 |
| Provider Name | Nicole D Cornish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003296492 PECOS PAC ID: 2163737743 Enrollment ID: I20150811004527 |
| Provider Name | Shyvonne N Gray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639490618 PECOS PAC ID: 6305066044 Enrollment ID: I20160404000036 |
| Provider Name | Michael Scammahorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285096909 PECOS PAC ID: 5092779348 Enrollment ID: I20160506000379 |
| Provider Name | Imelda C Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506680 PECOS PAC ID: 0941570725 Enrollment ID: I20170727000794 |
| Provider Name | Enieni E Okoya |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477751196 PECOS PAC ID: 7911279443 Enrollment ID: I20170818000347 |
| Provider Name | Lisa Kay Strohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114197092 PECOS PAC ID: 2961476858 Enrollment ID: I20190607001861 |
| Provider Name | Pamela Davies-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811555154 PECOS PAC ID: 5395178909 Enrollment ID: I20191211002412 |
| Provider Name | Amy Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023249737 PECOS PAC ID: 6204019300 Enrollment ID: I20200106002145 |
| Provider Name | Rebecca L Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043868482 PECOS PAC ID: 4082040464 Enrollment ID: I20200203001453 |
| Provider Name | Lynn Armah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841851672 PECOS PAC ID: 4183050164 Enrollment ID: I20200211001935 |
| Provider Name | Nicholas Irons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134571458 PECOS PAC ID: 4880988195 Enrollment ID: I20200326001133 |
| Provider Name | Elizabeth Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902353790 PECOS PAC ID: 1658797931 Enrollment ID: I20200817003931 |
| Provider Name | Shonta Crowder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538457569 PECOS PAC ID: 3375842503 Enrollment ID: I20200910000288 |
| Provider Name | Linda Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083016968 PECOS PAC ID: 2466862370 Enrollment ID: I20201104002263 |
| Provider Name | Wendy Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497004303 PECOS PAC ID: 0749694198 Enrollment ID: I20210127001013 |
| Provider Name | Brooksley Brown Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790208445 PECOS PAC ID: 7416357975 Enrollment ID: I20210621002560 |
| Provider Name | Brooke Berthiaume |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114404084 PECOS PAC ID: 4789081258 Enrollment ID: I20210927000510 |
| Provider Name | Nicole Lynnette Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518531227 PECOS PAC ID: 8921499286 Enrollment ID: I20211221000058 |
| Provider Name | Lizber Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982357976 PECOS PAC ID: 8527446871 Enrollment ID: I20220527002007 |
| Provider Name | Heather Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841750833 PECOS PAC ID: 9931587805 Enrollment ID: I20220606000605 |
| Provider Name | James D Bridwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285056176 PECOS PAC ID: 7315313210 Enrollment ID: I20221018001921 |
| Provider Name | Jessica Caitlin Legrange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801466644 PECOS PAC ID: 3971988874 Enrollment ID: I20221117002034 |
| Provider Name | Anna Grubb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821400060 PECOS PAC ID: 4981069655 Enrollment ID: I20230502002055 |
| Provider Name | Jamie Holz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912565995 PECOS PAC ID: 7517322233 Enrollment ID: I20230503000565 |
| Provider Name | Helen Laine Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356971881 PECOS PAC ID: 3779948328 Enrollment ID: I20230503002695 |
| Provider Name | Aubreigh Astani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003434671 PECOS PAC ID: 9638534142 Enrollment ID: I20230504002173 |
| Provider Name | Alicia Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215547393 PECOS PAC ID: 7911363346 Enrollment ID: I20230510000145 |
| Provider Name | Julie Renee Abell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750825972 PECOS PAC ID: 4082070347 Enrollment ID: I20230512000277 |
| Provider Name | Daniel Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063919371 PECOS PAC ID: 1456711910 Enrollment ID: I20230714002870 |
| Provider Name | Megan Secrest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376993097 PECOS PAC ID: 1254791601 Enrollment ID: I20230717001370 |
| Provider Name | Rhaeanna Casteel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083130025 PECOS PAC ID: 1052771482 Enrollment ID: I20230718000555 |
| Provider Name | Sharon Trammell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831647791 PECOS PAC ID: 5092175422 Enrollment ID: I20230718000785 |
| Provider Name | Kaylynn Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215400882 PECOS PAC ID: 9234599515 Enrollment ID: I20230718003163 |
| Provider Name | John Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114379427 PECOS PAC ID: 8325332273 Enrollment ID: I20230720002155 |
| Provider Name | Carlos G Solis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063584035 PECOS PAC ID: 8123104908 Enrollment ID: I20230724002780 |
| Provider Name | Anil Swarup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952593048 PECOS PAC ID: 6507955036 Enrollment ID: I20230726000139 |
| Provider Name | Shelby Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386124006 PECOS PAC ID: 7810358694 Enrollment ID: I20230726001102 |
| Provider Name | Julie Mccarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104383157 PECOS PAC ID: 6406217298 Enrollment ID: I20230726001429 |
| Provider Name | Sarah V Danielson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275693053 PECOS PAC ID: 6406915081 Enrollment ID: I20230817000869 |
| Provider Name | Ferdinand Akoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679106702 PECOS PAC ID: 5294199147 Enrollment ID: I20230912001513 |
| Provider Name | Marcia Meiring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184668345 PECOS PAC ID: 7810341724 Enrollment ID: I20230926004397 |
| Provider Name | Chinazo Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881310969 PECOS PAC ID: 5597119412 Enrollment ID: I20230927000238 |
| Provider Name | Chinedu Ude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790482651 PECOS PAC ID: 4486009735 Enrollment ID: I20231006001598 |
| Provider Name | Esinam Adotey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407542251 PECOS PAC ID: 4880049139 Enrollment ID: I20231006001887 |
| Provider Name | Sarah Ann Jefcoat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992044192 PECOS PAC ID: 3476908203 Enrollment ID: I20231013000447 |
| Provider Name | Cheryl Lowry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508877366 PECOS PAC ID: 8426408295 Enrollment ID: I20231220002630 |
| Provider Name | James Havens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053820597 PECOS PAC ID: 7416307285 Enrollment ID: I20231220002668 |
| Provider Name | Melissa Diacon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427425594 PECOS PAC ID: 2668822438 Enrollment ID: I20231220002783 |
| Provider Name | Bamidele Oludare Atoyosoye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912219510 PECOS PAC ID: 0749630515 Enrollment ID: I20231220002828 |
| Provider Name | Shelly Pritchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396755492 PECOS PAC ID: 4082064753 Enrollment ID: I20231220002977 |
| Provider Name | Maurice Murunga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225395874 PECOS PAC ID: 9830549500 Enrollment ID: I20231220003319 |
| Provider Name | Jennifer Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740623537 PECOS PAC ID: 5294185989 Enrollment ID: I20231220004268 |
| Provider Name | Tayler Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831770304 PECOS PAC ID: 8729438429 Enrollment ID: I20231221000055 |
| Provider Name | Amanda Berber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710469523 PECOS PAC ID: 0547610248 Enrollment ID: I20231221000057 |
| Provider Name | Sarah Christian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336896992 PECOS PAC ID: 7618327321 Enrollment ID: I20231221000489 |
| Provider Name | Joann Morales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265794028 PECOS PAC ID: 0345690079 Enrollment ID: I20231221001338 |
| Provider Name | Hannah Keel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669719878 PECOS PAC ID: 3173973815 Enrollment ID: I20231221001752 |
| Provider Name | Ariel Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336698190 PECOS PAC ID: 0648620302 Enrollment ID: I20231221002565 |
| Provider Name | Amy Kurian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356769376 PECOS PAC ID: 1355791914 Enrollment ID: I20231221002683 |
| Provider Name | Robert Lea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922433481 PECOS PAC ID: 5991155566 Enrollment ID: I20231221003140 |
| Provider Name | Deann Minst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740587831 PECOS PAC ID: 6103275466 Enrollment ID: I20231222000926 |
| Provider Name | Ashley Donovan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942895669 PECOS PAC ID: 6901256387 Enrollment ID: I20231227002132 |
| Provider Name | Kathy Eddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033667209 PECOS PAC ID: 0446600829 Enrollment ID: I20231227002151 |
| Provider Name | June Elkins-baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043538978 PECOS PAC ID: 0244680627 Enrollment ID: I20231227002233 |
| Provider Name | Stephanie Fullbright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225482383 PECOS PAC ID: 3870943251 Enrollment ID: I20231227002293 |
| Provider Name | Jessica Helt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942554191 PECOS PAC ID: 3971953381 Enrollment ID: I20231228000098 |
| Provider Name | Courtney Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588062665 PECOS PAC ID: 4880044296 Enrollment ID: I20231228000105 |
| Provider Name | Katlyn Garrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578107231 PECOS PAC ID: 5799135109 Enrollment ID: I20231228000109 |
| Provider Name | Kirsten Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639546369 PECOS PAC ID: 0941650360 Enrollment ID: I20231228000283 |
| Provider Name | Victoria Blazevich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255753687 PECOS PAC ID: 5991155228 Enrollment ID: I20231228000805 |
| Provider Name | Chelsea Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235672486 PECOS PAC ID: 6608226931 Enrollment ID: I20231228000889 |
| Provider Name | Lara Jean Langley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225049190 PECOS PAC ID: 9931559291 Enrollment ID: I20231228002228 |
| Provider Name | Anna Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225582885 PECOS PAC ID: 5395195655 Enrollment ID: I20231228002249 |
| Provider Name | Summer Langford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154768679 PECOS PAC ID: 0840640116 Enrollment ID: I20231228002277 |
| Provider Name | Toni Higgins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457471153 PECOS PAC ID: 7012367386 Enrollment ID: I20231228002301 |
| Provider Name | Vicky Hysell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205198041 PECOS PAC ID: 1658721923 Enrollment ID: I20231228002319 |
| Provider Name | Shayna Middleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447831474 PECOS PAC ID: 6901253574 Enrollment ID: I20231228003611 |
| Provider Name | Bethany Igo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760652788 PECOS PAC ID: 3072963388 Enrollment ID: I20231229000056 |
| Provider Name | Meladie Baxley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164719274 PECOS PAC ID: 6901256072 Enrollment ID: I20240102002590 |
| Provider Name | Cydnia Oakes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710133368 PECOS PAC ID: 5991155905 Enrollment ID: I20240103000058 |
| Provider Name | Sherry Borden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568717643 PECOS PAC ID: 7618327628 Enrollment ID: I20240103000066 |
| Provider Name | Adrian King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922420272 PECOS PAC ID: 1254781263 Enrollment ID: I20240103000071 |
| Provider Name | Hilary Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194830307 PECOS PAC ID: 5890145809 Enrollment ID: I20240103000083 |
| Provider Name | Donna Jolly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518465699 PECOS PAC ID: 9739539743 Enrollment ID: I20240103000229 |
| Provider Name | Kim Jenkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841844875 PECOS PAC ID: 6002266558 Enrollment ID: I20240103000978 |
| Provider Name | Jennifer Matlock Boggs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629308259 PECOS PAC ID: 4880044833 Enrollment ID: I20240103001679 |
| Provider Name | Jodi Linder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063855427 PECOS PAC ID: 8325498389 Enrollment ID: I20240103002231 |
| Provider Name | Mary Moore Lackey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326200437 PECOS PAC ID: 1052761038 Enrollment ID: I20240103002599 |
| Provider Name | Mitchell Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750576864 PECOS PAC ID: 3173974102 Enrollment ID: I20240103004888 |
| Provider Name | Deanna Densman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689880916 PECOS PAC ID: 4880784255 Enrollment ID: I20240104000470 |
| Provider Name | Mackenzie Brewer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447743471 PECOS PAC ID: 1658722574 Enrollment ID: I20240104003207 |
| Provider Name | Suzanne Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972626166 PECOS PAC ID: 1658722525 Enrollment ID: I20240105000365 |
| Provider Name | Matt Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033694229 PECOS PAC ID: 6901257773 Enrollment ID: I20240105000824 |
| Provider Name | Jeanne Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114245305 PECOS PAC ID: 1658722434 Enrollment ID: I20240105001113 |
| Provider Name | Jason Cornelius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881701563 PECOS PAC ID: 4486005204 Enrollment ID: I20240105002291 |
| Provider Name | Lacey Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639618473 PECOS PAC ID: 6608227293 Enrollment ID: I20240108005573 |
| Provider Name | Ruth Burton-pugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982639167 PECOS PAC ID: 5799136313 Enrollment ID: I20240109000563 |
| Provider Name | Teresa Byrne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851794325 PECOS PAC ID: 5294186789 Enrollment ID: I20240109003093 |
| Provider Name | Samantah Mcalister |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124441613 PECOS PAC ID: 6305297805 Enrollment ID: I20240109003438 |
| Provider Name | Amber Maxwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013279710 PECOS PAC ID: 1658720909 Enrollment ID: I20240109004271 |
| Provider Name | Clay Mattox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538795091 PECOS PAC ID: 1850742289 Enrollment ID: I20240110000207 |
| Provider Name | Valerie Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467704874 PECOS PAC ID: 5597116962 Enrollment ID: I20240110001860 |
| Provider Name | Renee Todd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417597212 PECOS PAC ID: 3375994775 Enrollment ID: I20240110002784 |
| Provider Name | Constance Stidham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548820251 PECOS PAC ID: 6406207729 Enrollment ID: I20240110003850 |
| Provider Name | Megan Shelby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699091520 PECOS PAC ID: 0941651293 Enrollment ID: I20240110005091 |
| Provider Name | Marcy Schoelen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285850685 PECOS PAC ID: 1759732019 Enrollment ID: I20240110005151 |
| Provider Name | Paul Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326176447 PECOS PAC ID: 2961853221 Enrollment ID: I20240111000118 |
| Provider Name | Min Ting Wang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346343316 PECOS PAC ID: 3779934039 Enrollment ID: I20240111000150 |
| Provider Name | Carol Stevenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639276777 PECOS PAC ID: 7012368285 Enrollment ID: I20240111004442 |
| Provider Name | Hubert Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720516297 PECOS PAC ID: 4284085317 Enrollment ID: I20240112001723 |
| Provider Name | Asha Teeple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962999557 PECOS PAC ID: 1456702505 Enrollment ID: I20240112002444 |
| Provider Name | Sherris Ososanya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740300797 PECOS PAC ID: 7416309489 Enrollment ID: I20240116002455 |
| Provider Name | Carla Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528248507 PECOS PAC ID: 8325490212 Enrollment ID: I20240116003476 |
| Provider Name | Amy Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639366552 PECOS PAC ID: 3779935630 Enrollment ID: I20240117001099 |
| Provider Name | Kaitlyn Witt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497343404 PECOS PAC ID: 1254783012 Enrollment ID: I20240117001314 |
| Provider Name | Janae Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194316935 PECOS PAC ID: 5092167858 Enrollment ID: I20240117001582 |
| Provider Name | Tiffany Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891283693 PECOS PAC ID: 2860844644 Enrollment ID: I20240117002140 |
| Provider Name | Morgan Sprague |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558859819 PECOS PAC ID: 3779935580 Enrollment ID: I20240117003125 |
| Provider Name | Stephanie Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053656397 PECOS PAC ID: 6002268752 Enrollment ID: I20240117004958 |
| Provider Name | Kayley Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720595515 PECOS PAC ID: 7810349560 Enrollment ID: I20240117004962 |
| Provider Name | Cassie Ransom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639537392 PECOS PAC ID: 5890147508 Enrollment ID: I20240118001896 |
| Provider Name | Savannah Pierson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164682316 PECOS PAC ID: 3779935408 Enrollment ID: I20240118002398 |
| Provider Name | Darla Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225365414 PECOS PAC ID: 6103278841 Enrollment ID: I20240118002861 |
| Provider Name | Sarah Schubarth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023265949 PECOS PAC ID: 8628420361 Enrollment ID: I20240118002930 |
| Provider Name | Melissa Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346528197 PECOS PAC ID: 1850740226 Enrollment ID: I20240119002053 |
| Provider Name | Derek Talkington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154606812 PECOS PAC ID: 2062864531 Enrollment ID: I20240119003002 |
| Provider Name | Adil H.a Tumbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003177700 PECOS PAC ID: 0547559916 Enrollment ID: I20240124003602 |
| Provider Name | Amy Beck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538448618 PECOS PAC ID: 5597118661 Enrollment ID: I20240125002203 |
| Provider Name | Rebecca Douglass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871017418 PECOS PAC ID: 6709239791 Enrollment ID: I20240125003284 |
| Provider Name | Summer Suffridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780065433 PECOS PAC ID: 2668834441 Enrollment ID: I20240126000610 |
| Provider Name | Sabra Ruminer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467691451 PECOS PAC ID: 8527411362 Enrollment ID: I20240129002844 |
| Provider Name | Melissa Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609145184 PECOS PAC ID: 1456704956 Enrollment ID: I20240131004605 |
| Provider Name | Ashley Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134675952 PECOS PAC ID: 3274986773 Enrollment ID: I20240131004613 |
| Provider Name | Alicia Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245805357 PECOS PAC ID: 0446603948 Enrollment ID: I20240131004628 |
| Provider Name | Billie Wallis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568705739 PECOS PAC ID: 2769831163 Enrollment ID: I20240201000973 |
| Provider Name | Alma Delia Vargas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174648356 PECOS PAC ID: 4789028580 Enrollment ID: I20240220004006 |
| Provider Name | Kathryn Deann Carnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770593857 PECOS PAC ID: 1254775059 Enrollment ID: I20240220004257 |
| Provider Name | Malori Gales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700496163 PECOS PAC ID: 4880038694 Enrollment ID: I20240221001489 |
| Provider Name | Stephanie Chenoweth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932561685 PECOS PAC ID: 0749624542 Enrollment ID: I20240228001128 |
| Provider Name | Kimberly Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548741358 PECOS PAC ID: 2567807597 Enrollment ID: I20240229003473 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649501917 PECOS PAC ID: 5698110526 Enrollment ID: I20240229003756 |
| Provider Name | Ann Chorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659022044 PECOS PAC ID: 2567807464 Enrollment ID: I20240301001622 |
| Provider Name | Bonnie Hoover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538819248 PECOS PAC ID: 7214372127 Enrollment ID: I20240301001886 |
| Provider Name | April Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043814528 PECOS PAC ID: 5698110518 Enrollment ID: I20240301002357 |
| Provider Name | Sarah Walizer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417611245 PECOS PAC ID: 8628413549 Enrollment ID: I20240301002568 |
| Provider Name | Amista Chambers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356638092 PECOS PAC ID: 0749625564 Enrollment ID: I20240301002859 |
| Provider Name | Amanda Heldenbrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508441098 PECOS PAC ID: 6608212824 Enrollment ID: I20240311002534 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |