Coal Creek Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5598 Issued in OK

Legal business name

COAL CREEK COUNSELING, LLC

Practice address

204 D St NE
Miami, OK 74354

Phone

(918) 325-1526

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Jessica Rawlings, LCSW

Title

Individual and Family Therapist

Phone

(918) 325-1526

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jessica Mullin, LCSW

  • Mental Health Counselor
  • Miami, OK
  • NPI 1073913950
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1447786603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743551633",
            "telephone_number": "918-325-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 D ST NE",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "74354",
            "telephone_number": "918-325-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL CREEK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "RAWLINGS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "INDIVIDUAL AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "918-325-1526",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200642610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Ann Chuculate
• Carrie Ann Clark, PHARM-D
• Lavon Jo Clark
• Moriah K Cline
• Millicent Lynn Clugston, LMSW U/S
• Linda Ann Coats, LCSW
• Community Health Center of Southeast Kansas, Inc.
• Compassionate Care Consultants, Inc (Compassionate Care Senior Services)
• Howard Byrd Condren, M.D.
• Shaleena Marie Cook

• Clinical Social Worker in Miami, OK
• Providers in Miami, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.