Mayes County Counseling and Resources PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAYES COUNTY COUNSELING AND RESOURCES PLLC

Practice address

119 West Main
Chouteau, OK 74337-0961

Phone

(918) 476-4008

Fax

(918) 476-0582

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By 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

Mr. Johnny Daryel Cunningham, MSWNPI 1881806628

Title

Program Director

Phone

(918) 697-3823

Specialties & licenses 1

Addresses

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.

• Johnny Daryel Cunningham, LCSW

  • Clinical Social Worker
  • Chouteau, OK
  • NPI 1881806628
  NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1609457365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743370961",
            "telephone_number": "918-697-3823",
            "fax_number": "918-476-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST MAIN",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743370961",
            "telephone_number": "918-476-4008",
            "fax_number": "918-476-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES COUNTY COUNSELING AND RESOURCES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "DARYEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-697-3823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Kozlowski
• Kroeker Medical Incorporated
• Cheryl Bernice Kroeker, D.O.
• Virginia Lampson
• Xavier D Martin
• Sarah Megee
• Jennifer L Mitchell, APRN, FNP-C
• Jane Montanaro
• Osu Center for Health Sciences (Osu-Aj Utica Park Clinic Chouteau)
• Robert E Fox Jr

• Community/Behavioral Health Agency in Chouteau, OK
• Providers in Chouteau, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.