Organization Active NPI

Red River Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hugo, OK
National Provider Identifier
1003060450
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RED RIVER COUNSELING CENTER, LLC
Practice address
100 N 5TH St
Hugo, OK 74743-4005
Phone
(580) 326-9475
Fax
(580) 326-9475
NPI assigned
Nov 12, 2008
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jana Callaway
Title
Office Manager
Phone
(580) 326-9475

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

100 N 5TH St
Hugo, OK 74743-4005

Mailing address

PO Box 831
Hugo, OK 74743-0831
Phone (580) 326-9475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180306000474 OK Part B Supplier - Clinic/Group Practice 7810258951 Receives reassigned benefits from 8 practitioners
Practice locations: Hugo, OK

National Provider Directory

National Provider Directory

Locations

100 N 5th St
Hugo, OK 74743
Phone (580) 326-9475

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1003060450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747430831",
            "telephone_number": "580-326-9475",
            "fax_number": "580-326-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 5TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434005",
            "telephone_number": "580-326-9475",
            "fax_number": "580-326-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-326-9475"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.