NPIMap

Organization Active NPI

Red Hawk Behavioral Health LLC

Doing business as Red Hawk Behavioral Health

  • Mental Health Counselor
  • Claremore, OK
National Provider Identifier
1164165486
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RED HAWK BEHAVIORAL HEALTH LLC
Doing business as
Red Hawk Behavioral Health
Practice address
1218 N Florence Ave Ste B
Claremore, OK 74017-3755
Phone
(918) 283-4388
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Grace Ballard, CSW
Title
Director
Phone
(918) 508-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1218 N Florence Ave Ste B
Claremore, OK 74017-3755

Mailing address

1232 S Atlanta PL
Tulsa, OK 74104-4311
Phone (918) 508-9696

Other names 1

  • Red Hawk Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1164165486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 S ATLANTA PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044311",
            "telephone_number": "918-508-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N FLORENCE AVE STE B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173755",
            "telephone_number": "918-283-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HAWK BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-508-9696",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Hawk Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.