NPIMap

Organization Active NPI

Bent Creek Behavioral Health Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodward, OK
National Provider Identifier
1518623735
Registry record updated Apr 1, 2024
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
BENT CREEK BEHAVIORAL HEALTH SERVICES, PLLC
Practice address
1116 19TH St
Woodward, OK 73801-2925
Phone
(580) 922-5656
Fax
(580) 922-3261
NPI assigned
Nov 11, 2021
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Zachery HelterbrakeNPI 1801380142
Title
Owner
Phone
(580) 922-5612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1116 19TH St
Woodward, OK 73801-2925

Mailing address

PO Box 177
Seiling, OK 73663-0177
Phone (580) 922-5656

Other practice location 1

503 N Main St
Seiling, OK 73663-6681
Phone (580) 922-5656

Other practice location 2

423 W Broadway Ave
Enid, OK 73701-3839
Phone (580) 922-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126004366 OK Part B Supplier - Clinic/Group Practice 0244722114 Receives reassigned benefits from 3 practitioners
Practice locations: Seiling, OK; Woodward, OK; Enid, OK

National Provider Directory

National Provider Directory

Locations

423 W Broadway Ave
Enid, OK 73701
Phone (580) 922-5656

101 S Main St
Ste A
Fairview, OK 73737

1428 Oklahoma Ave
Ofc 1
Woodward, OK 73801

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1518623735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "736630177",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 19TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012925",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 N Main St",
            "address_purpose": "LOCATION",
            "city": "Seiling",
            "state": "OK",
            "postal_code": "736636681",
            "country_code": "US",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737013839",
            "country_code": "US",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENT CREEK BEHAVIORAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "HELTERBRAKE",
        "authorized_official_first_name": "ZACHERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-922-5612"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.