NPIMap

Organization Active NPI

Oaks Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1649744228
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OAKS BEHAVIORAL HEALTH PLLC
Practice address
100 S Broadway St
Glasgow, KY 42141-2604
Phone
(270) 861-0606
Fax
(270) 629-2444
NPI assigned
Jan 16, 2019
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Tarah Jo Mathews, APRN, PMHNPNPI 1063763571
Title
Owner
Phone
(270) 861-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

100 S Broadway St
Glasgow, KY 42141-2604

Mailing address

106 W Front St
Glasgow, KY 42141-2804
Phone (270) 590-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410003131 KY Part B Supplier - Clinic/Group Practice 7416298948 Receives reassigned benefits from 14 practitioners
Practice locations: Glasgow, KY

National Provider Directory

National Provider Directory

Locations

100 S Broadway St
Glasgow, KY 42141
Phone (270) 281-2559

106 W Front St
Glasgow, KY 42141
Phone (270) 861-0606

1320 W Main St
#B
Glasgow, KY 42141

169 County Pike
Harlan, KY 40831
Phone (606) 573-5105

162 E Somerset Church Rd
Somerset, KY 42503

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1649744228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W FRONT ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412804",
            "telephone_number": "270-590-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROADWAY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412604",
            "telephone_number": "270-861-0606",
            "fax_number": "270-629-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TARAH",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-861-0606",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.