NPIMap

Organization Active NPI

Oklahoma Mental Health Council

Doing business as Red Rock Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shawnee, OK
National Provider Identifier
1396220844
Registry record updated Nov 11, 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
OKLAHOMA MENTAL HEALTH COUNCIL
Doing business as
Red Rock Behavioral Health Services, Inc.
Practice address
1336 N Harrison Ave
Shawnee, OK 74801-5206
Phone
(405) 424-7711
NPI assigned
Oct 1, 2018
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OKLAHOMA MENTAL HEALTH COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Angi Maxwell-Duverger
Title
Manger, Credentialing
Phone
(405) 425-0428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1336 N Harrison Ave
Shawnee, OK 74801-5206

Mailing address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone (405) 424-7711

Other identifiers 1

IdentifierTypeStateIssuer
100635250MedicaidOK

Other names 1

  • Red Rock Behavioral Health Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ok Mental Health Council53 organizations share this tax ID, including this one
Part of
Ok Mental Health Council

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1336 N Harrison Ave
Shawnee, OK 74801
Phone (405) 214-4700

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1396220844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055104",
            "telephone_number": "405-424-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 N HARRISON AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015206",
            "telephone_number": "405-424-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA MENTAL HEALTH COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKLAHOMA MENTAL HEALTH COUNCIL",
        "enumeration_date": "2018-10-01",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "MAXWELL-DUVERGER",
        "authorized_official_first_name": "ANGI",
        "authorized_official_title_or_position": "MANGER, CREDENTIALING",
        "authorized_official_telephone_number": "405-425-0428"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100635250",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Behavioral Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Rock Behavioral Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.