Stillwater Domestic Violence Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STILLWATER DOMESTIC VIOLENCE SERVICES, INC.

Practice address

3800 N Washington St
Stillwater, OK 74075-1439

Phone

(405) 372-9922

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Brandi White, MA

Title

Executive Director

Phone

(405) 372-9922

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Jensen

  • Mental Health Counselor
  • Stillwater, OK
  • NPI 1457131492
  NPD (past)
• Chelsea Keel, M.S

  • Mental Health Counselor
  • Stillwater, OK
  • NPI 1861915316
  NPD (past)
• Katelynn Puckett

  • Case Manager/Care Coordinator
  • Stillwater, OK
  • NPI 1952244261
  NPD (past)
• Macayla Smith, B.A.

  • Case Manager/Care Coordinator
  • Stillwater, OK
  • NPI 1760327548
  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1548080286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N WASHINGTON ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740751439",
            "telephone_number": "405-372-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N WASHINGTON ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740751439",
            "telephone_number": "405-372-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER DOMESTIC VIOLENCE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-372-9922",
        "authorized_official_credential": "MA"
    },
    "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": []
}

• Stillwater Counseling Center
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• Stillwater Dental Associates
• Stillwater Dentistry & Braces
• Stillwater Dermatology Clinic
• Stillwater Endodontics Darrell W. Daugherty, DDS,PC
• Stillwater Eyecare Center, P.L.L.C.
• Stillwater Eyewear LLC
• Stillwater Familycare LLC
• Stillwater Group Homes, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.