Lift Community Action Agency, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFT COMMUNITY ACTION AGENCY, INC

Practice address

1005 S 5TH St BLDG 4
Hugo, OK 74743-8013

Phone

(803) 263-3515

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 2024By 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

Rebecca Porter

Title

Executive Director

Phone

(580) 326-3351

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Christie R Terry-Ball

  • Peer Specialist
  • Hugo, OK
  • NPI 1558082503
  NPD
• Jennifer Wray Wisener

  • Peer Specialist
  • Hugo, OK
  • NPI 1831965763
  NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1427865930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N 4TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433809",
            "telephone_number": "580-326-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S 5TH ST BLDG 4",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747438013",
            "telephone_number": "803-263-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT COMMUNITY ACTION AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-326-3351"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Leeper
• Leanne Lehrling
• Kelli Lemke, APRN-CNP
• Ferne Kay Leonard
• Kiyoko Nicole Lester
• Christin De-an Logan
• Alicia Loman, MS
• Don G. Loman, M.S.
• Emilia Sue Lopez, RN
• Tandy Leah Low

• Substance Use Disorder Rehabilitation Clinic/Center in Hugo, OK
• Providers in Hugo, OK by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.