Active NPI
Tenkiller Behavioral Services, Inc.
- Community/Behavioral Health Agency
- Stilwell, OK
National Provider Identifier
1376967216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TENKILLER BEHAVIORAL SERVICES, INC.
- Practice address
- 110 W Maple St
Stilwell, OK 74960-3100 - Phone
- (918) 797-7786
- Fax
- (918) 696-8679
- NPI assigned
- Feb 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krista Michelle Roach, LPC
- Title
- Administrator
- Phone
- (918) 797-7786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
110 W Maple St
Stilwell, OK 74960-3100
Mailing address
27753 S Welling Rd
Welling, OK 74471-2202
Phone (918) 797-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100708280 | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Tenkiller Behavioral Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Watts, OK
- NPI 1003988726
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Welling, OK
- NPI 1134291859
Locations
110 W Maple St
Stilwell, OK 74960
Phone (918) 708-3006
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Stilwell, OK
- NPI 1083143036
-
- Counselor
- Welling, OK
- NPI 1518296490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392163200000",
"number": "1376967216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27753 S WELLING RD",
"city": "WELLING",
"state": "OK",
"postal_code": "744712202",
"telephone_number": "918-797-7786",
"fax_number": "918-457-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W MAPLE ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603100",
"telephone_number": "918-797-7786",
"fax_number": "918-696-8679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENKILLER BEHAVIORAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A",
"authorized_official_last_name": "ROACH",
"authorized_official_first_name": "KRISTA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "918-797-7786",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100708280",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.