NPIMap

Organization Active NPI

Multi-County Youth and Family Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, OK
National Provider Identifier
1205955226
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MULTI-COUNTY YOUTH AND FAMILY SERVICES, INC
Practice address
600 Avant Ave
Clinton, OK 73601-3916
Phone
(580) 323-3322
Fax
(580) 323-6233
NPI assigned
Mar 29, 2007
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Jerry Beech, LPC
Title
Executive Director
Phone
(580) 323-3322

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

600 Avant Ave
Clinton, OK 73601-3916

Mailing address

600 Avant Ave
P.O. Box 104
Clinton, OK 73601-3916
Phone (580) 323-3322

Other identifiers 3

IdentifierTypeStateIssuer
100729510CMedicaidOK
200425520AMedicaidOK
20034250AMedicaidOK

Other names 1

  • Multi-County Youth and Family Services Other name

National Provider Directory

National Provider Directory

Locations

600 Avant Ave
Clinton, OK 73601
Phone (580) 323-3322

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1205955226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AVANT AVE",
            "address_2": "P.O. BOX 104",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013916",
            "telephone_number": "580-323-3322",
            "fax_number": "580-323-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AVANT AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013916",
            "telephone_number": "580-323-3322",
            "fax_number": "580-323-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-COUNTY YOUTH AND FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "BEECH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-323-3322",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729510C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425520A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20034250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multi-County Youth and Family Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.