Community Couseling Center, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

100728790-A Issued in OK

Legal business name

COMMUNITY COUSELING CENTER, INC.

Doing business as

Gatewood Place RCF

Practice address

1700 NW 17TH St
Oklahoma City, OK 73106-4212

Phone

(405) 528-2445

Fax

(405) 528-2436

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina J Arnold

Title

Administrator

Phone

(405) 258-2445

Specialties & licenses 1

Addresses

Other names 1

• Gatewood Place RCF Doing business as

Tax ID family

Community Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Counseling

  dba Gatewood Place Residential Care Home

  • Assisted Living Facility
  • Oklahoma City, OK
  • NPI 1184951329
  NPD tax ID

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1053687780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 17TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731064212",
            "telephone_number": "405-528-2445",
            "fax_number": "405-528-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 17TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731064212",
            "telephone_number": "405-528-2445",
            "fax_number": "405-528-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-258-2445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "100728790-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gatewood Place RCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Common Connection LLC
• Communication Gap, LLC
• Community Action Agency Turning Point
• Community Adolescent Rehabilitative Effort for Change Inc (Care for Change)
• Community Counseling (Gatewood Place Residential Care Home)
• Community Diagnostic Center of Oklahoma (Comprhensive PET/CT Center Of Oklahoma)
• Community Family Care LLC
• Community Health Centers at Red Rock (CHCI at Redrock)
• Community Health Centers Inc. (Mary Mahoney Memorial Health Center)
• Community Health Centers Inc. (Perry A. Klaassen Family Medical Center)

• Mental Illness Community Based Residential Treatment Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Illness Community Based Residential Treatment Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.