NPIMap

Organization Active NPI

Creoks Mental Health Services

  • Community/Retail Pharmacy
  • Tulsa, OK
National Provider Identifier
1568004232
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CREOKS MENTAL HEALTH SERVICES
Practice address
4103 S Yale Ave Ste B
Tulsa, OK 74135-6002
Phone
(918) 495-4128
Fax
(918) 281-8033
NPI assigned
Oct 14, 2019
Organization subpart
Yes
Parent organization
CREOKS MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Kerri Watson
Title
Credentialing Director
Phone
(918) 698-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002

Mailing address

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002
Phone (918) 495-4128

Other identifiers 1

IdentifierTypeStateIssuer
200751200CMedicaidOK

Other names 1

  • TRUHEALTH #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creoks Mental Health Services Inc70 organizations share this tax ID, including this one
Part of
Creoks Mental Health Services Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1568004232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356002",
            "telephone_number": "918-495-4128",
            "fax_number": "918-281-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356002",
            "telephone_number": "918-495-4128",
            "fax_number": "918-281-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREOKS MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREOKS MENTAL HEALTH SERVICES",
        "enumeration_date": "2019-10-14",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "918-698-1771"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200751200C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUHEALTH #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRUHEALTH #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.