Active NPI
North Oklahoma County Mental Health Center
- Community/Behavioral Health Agency
- Guthrie, OK
National Provider Identifier
1639438674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER
- Practice address
- 200 S Academy Rd
Guthrie, OK 73044-8727 - Phone
- (405) 858-2700
- NPI assigned
- May 11, 2012
- Reactivated
- Apr 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Northcare Credentialing
- Title
- Credentialing
- Phone
- (405) 858-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
200 S Academy Rd
Guthrie, OK 73044-8727
Mailing address
2403 S Division St Ste C&D
Guthrie, OK 73044-6027
Other practice location 1
116 N Broad St Ste D
Guthrie, OK 73044-3363
Phone (405) 858-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000470 | OK | Part B Supplier - Clinic/Group Practice | 6002701786 |
Receives reassigned benefits from 41 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oklahoma City, OK; Guthrie, OK |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Counselor
- Oklahoma City, OK
- NPI 1528148541
O20040220000470
-
- Mental Health Counselor
- Oklahoma City, OK
- NPI 1821120189
O20040220000470
National Provider Directory
National Provider DirectoryLocations
1911 E Rutgers Ave
Guthrie, OK 73044
Phone (405) 858-1700
2403 S Division St
Ste Cd
Guthrie, OK 73044
Phone (405) 260-3441
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Piedmont, OK
- NPI 1982175808
-
- Mental Health Counselor
- Edmond, OK
- NPI 1245570878
-
- Counselor
- Guthrie, OK
- NPI 1124441613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1639438674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 S DIVISION ST STE C&D",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730446027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ACADEMY RD",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730448727",
"telephone_number": "405-858-2700"
}
],
"practiceLocations": [
{
"address_1": "116 N Broad St Ste D",
"address_purpose": "LOCATION",
"city": "Guthrie",
"state": "OK",
"postal_code": "730443363",
"country_code": "US",
"telephone_number": "405-858-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"deactivation_date": "2023-03-31",
"reactivation_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "CREDENTIALING",
"authorized_official_first_name": "NORTHCARE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "405-858-2700"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.