Creoks Mental Health Services
Organization Active NPI Community/Behavioral Health Agency · Sallisaw, OK
NPI 1184929697 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1184929697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 100734620 (OK)
- Legal business name
- CREOKS MENTAL HEALTH SERVICES
- Practice address
- 101 W Quesenbury Ave
Sallisaw, OK 74955-3613 - Phone
- (918) 640-0199
- NPI assigned
- Jan 13, 2011
- 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) 23
Practitioners 1
-
Adriana Tucker, MS, RD, LD
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 100734620 | OK | Yes |
Addresses
Primary practice location
101 W Quesenbury Ave
Sallisaw, OK 74955-3613
Mailing address
323 W 6TH St
Okmulgee, OK 74447-5019
Phone (918) 756-9411
Other providers in Sallisaw, OK
- Samantha Lynn Craighead
- Tamara Lee Crain
- Frances Kay Crawford
- Ronda Crawford
- Amanda Creekmore
- Creoks Mental Health Services, Inc
- Alexandria Katelyn Crocker
- Cura-HPC Eastok, LLC
- Amanda Daylene Dandridge
- Sharon Sue Day
All providers in Sallisaw, 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.