NPIMap

Organization Active NPI

Modoc Nation Behavioral Health

Doing business as Lost River

  • Multi-Specialty Clinic/Center
  • Wyandotte, OK
National Provider Identifier
1265083380
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MODOC NATION BEHAVIORAL HEALTH
Doing business as
Lost River
Lost River Treatment Center
Practice address
10025 S 705 Rd
Wyandotte, OK 74370-9507
Phone
(918) 303-5433
NPI assigned
Sep 20, 2019
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MODOC NATION BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Laci Barton, APRN-CNPNPI 1669984126
Title
Director of Operations
Phone
(918) 303-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU

Addresses

Primary practice location

10025 S 705 Rd
Wyandotte, OK 74370-9507

Mailing address

22 N Eight Tribes TRL
Miami, OK 74354-1011
Phone (918) 542-1190

Other practice location 1

21 N Eight Tribes Trl Ste B
Miami, OK 74354-1010
Phone (918) 303-5433

Other names 2

  • Lost River Doing business as
  • Lost River Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lost River Treatment Center2 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.

Locations

21 N Eight Tribes Trl
Ste B
Miami, OK 74354
Phone (918) 387-8720

22 N Eight Tribes Trl
Miami, OK 74354
Phone (918) 542-1190

10025 S 705 Rd
Wyandotte, OK 74370
Phone (918) 303-5433

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1265083380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N EIGHT TRIBES TRL",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541011",
            "telephone_number": "918-542-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 S 705 RD",
            "city": "WYANDOTTE",
            "state": "OK",
            "postal_code": "743709507",
            "telephone_number": "918-303-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 N Eight Tribes Trl Ste B",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743541010",
            "country_code": "US",
            "telephone_number": "918-303-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODOC NATION BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODOC NATION BEHAVIORAL HEALTH",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "LACI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "918-303-5433",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lost River",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lost River Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyandotte, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.