NPIMap

Organization Active NPI

Brighter Heights Oklahoma, LLC

Doing business as Brighter Heights Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Broken Bow, OK
National Provider Identifier
1306900469
Registry record updated Jun 1, 2022
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
BRIGHTER HEIGHTS OKLAHOMA, LLC
Doing business as
Brighter Heights Oklahoma
Practice address
100 N Broadway St
Broken Bow, OK 74728-3934
Phone
(580) 584-3079
NPI assigned
Dec 21, 2006
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dorothy McKinnon, MSW,LCSW,LADCNPI 1225258999
Title
Exec Dir
Phone
(580) 298-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

100 N Broadway St
Broken Bow, OK 74728-3934

Mailing address

PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830

Other identifiers 1

IdentifierTypeStateIssuer
100744370SMedicaidOK

Other names 1

  • Brighter Heights Oklahoma Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camelot Community Services of Oklahoma LLC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

100 N Broadway St
Broken Bow, OK 74728
Phone (580) 584-3079

Practitioners & affiliated clinicians

Practitioners 1

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1306900469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745231030",
            "telephone_number": "580-298-2830",
            "fax_number": "580-298-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BROADWAY ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283934",
            "telephone_number": "580-584-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER HEIGHTS OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "EXEC DIR",
        "authorized_official_telephone_number": "580-298-2830",
        "authorized_official_credential": "MSW,LCSW,LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744370S",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighter Heights Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Bow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.