Active NPI
Corie Goodell
- Case Manager/Care Coordinator
- Bartlesville, OK
National Provider Identifier
1306384458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 700 S Penn Ave
Bartlesville, OK 74003-3847 - Phone
- (918) 337-8080
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
700 S Penn Ave
Bartlesville, OK 74003-3847
Mailing address
700 S Penn Ave
Bartlesville, OK 74003-3847
Phone (918) 337-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
114 W Delaware Ave
Nowata, OK 74048-2601
4861 NS 407 Rd
Wann, OK 74083-1125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients |
Locations
700 S Penn Ave
Bartlesville, OK 74003
Phone (918) 337-8099
325 S Ash St
Nowata, OK 74048
Phone (918) 273-7344
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1497762520
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1356048656
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Blackwell, OK
- NPI 1457922528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1306384458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S PENN AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033847",
"telephone_number": "918-337-8080",
"fax_number": "918-337-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PENN AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033847",
"telephone_number": "918-337-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODELL",
"first_name": "CORIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.