Organization Active NPI

Yco Tulsa, Inc

Doing business as YouthCare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk City, OK
National Provider Identifier
1629087895
Registry record updated Oct 21, 2020
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
YCO TULSA, INC
Doing business as
YouthCare of Oklahoma
Practice address
105 Janets Way Ste B
Elk City, OK 73644-4803
Phone
(580) 309-7961
NPI assigned
Aug 5, 2006
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Robert Lobato
Title
Ceo
Phone
(866) 926-6552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 100744460E OK
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

105 Janets Way Ste B
Elk City, OK 73644-4803

Mailing address

PO Box 95207
Oklahoma City, OK 73143-5207
Phone (866) 926-6552

Other practice location 1

213 W Broadway Ave
Elk City, OK 73644-4741
Phone (866) 926-6552

Other identifiers 1

IdentifierTypeStateIssuer
100744460EMedicaidOK

Other names 1

  • YouthCare of Oklahoma Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yco Tulsa17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

105 Janets Way
Ste B
Elk City, OK 73644
Phone (580) 309-7961

213 W Broadway Ave
Elk City, OK 73644
Phone (580) 729-2905

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1629087895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95207",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731435207",
            "telephone_number": "866-926-6552",
            "fax_number": "580-547-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JANETS WAY STE B",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444803",
            "telephone_number": "580-309-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736444741",
            "country_code": "US",
            "telephone_number": "866-926-6552",
            "fax_number": "580-547-4076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YCO TULSA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LOBATO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-926-6552"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "100744460E",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744460E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YouthCare of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YouthCare of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.