Active NPI
Terrah Lynn Manes, LCSW
- Mental Health Counselor
- Tahlequah, OK
National Provider Identifier
1043415474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 711 S Muskogee Ave
Tahlequah, OK 74464-4717 - Phone
- (918) 207-0078
- Fax
- (918) 207-0558
- NPI assigned
- Jun 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Mailing address
19393 W 846 Rd
Park Hill, OK 74451-2014
Phone (918) 869-1984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services | Current | Accepting new patients | |
| Creoks Mental Health Services | Current | Accepting new patients | |
| Creoks Mental Health Services, Inc | Current | Accepting new patients |
Locations
711 S Muskogee Ave
Tahlequah, OK 74464
Phone (918) 207-0078
4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1710583372
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1841311289
-
- Community/Behavioral Health Agency
- Wagoner, OK
- NPI 1407157456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1043415474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19393 W 846 RD",
"city": "PARK HILL",
"state": "OK",
"postal_code": "744512014",
"telephone_number": "918-869-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S MUSKOGEE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644717",
"telephone_number": "918-207-0078",
"fax_number": "918-207-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANES",
"first_name": "TERRAH",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-16",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.