Creoks Mental Health Services
Organization Active NPI Community/Behavioral Health Agency · Vinita, OK
NPI 1023381985 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1023381985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- CMHC-561 (OK)
- Legal business name
- CREOKS MENTAL HEALTH SERVICES
- Practice address
- 120 E Illinois Ave
Suite 200/201
Vinita, OK 74301-3202 - Phone
- (918) 256-9961
- Fax
- (918) 256-9941
- NPI assigned
- Feb 22, 2012
- Organization subpart
- No
Authorized official
- Name
- Kerri Watson
- Title
- Credentialing Director
- Phone
- (918) 698-1771
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 12
Practitioners 2
-
K'Lynne Michele Escott, LPC, M.S, B.S.
-
Cynthia Harper, MS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161101000781 | OK | Part B Supplier - Clinic/Group Practice | 0749591469 |
Receives reassigned benefits from 76 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stillwater, OK; Shawnee, OK; Sapulpa, OK; Sallisaw, OK; Poteau, OK; Pawnee, OK; Okmulgee, OK; Oklahoma City, OK… |
National Provider Directory
- Tax ID family
- Creoks Mental Health Services Inc
Locations
120 E Illinois Ave
Ste 200201
Vinita, OK 74301
Phone (918) 256-9961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CMHC-561 | OK | Yes |
Addresses
Primary practice location
120 E Illinois Ave
Suite 200/201
Vinita, OK 74301-3202
Mailing address
323 W 6TH St
Okmulgee, OK 74447-5019
Phone (918) 756-9411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100734620 | Medicaid | OK |
Other providers in Vinita, OK
- Craig General Home Health LLC
- Marissa Nicole Cramer
- Sheila Cramer
- Coy Crane
- Velma M Craven-Evans
- Amy Cresap
- Suanne Crockett
- Tracy Dalene Crockett
- Siedra Crouch
- Dakota Lee Culver
All providers in Vinita, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.