Owasso Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4043 Issued in OK

Legal business name

OWASSO BEHAVIORAL HEALTH

Practice address

10306 N 138TH East Ave
Ste 206
Owasso, OK 74055-4665

Phone

(918) 636-5597

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krista Quigley

Title

Owner/LPC

Phone

(918) 636-5597

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1396284725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE",
            "address_2": "STE 206",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE",
            "address_2": "STE 206",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554665",
            "telephone_number": "918-636-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "918-636-5597"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200360960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Osu Owasso
• Rachel Otto, DPT
• Our Family Doctor LLC
• Owasso Counseling Services,PLLC
• Owasso Dialysis LLC (Owasso Dialysis)
• Owasso Drug Company LLC (Owasso Drug)
• Owasso Eye Institute Inc
• Owasso Family Denistry

• Mental Health Counselor in Owasso, OK
• Providers in Owasso, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.