NPIMap

Organization Active NPI

Alliance Mental Health Community Partnership

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
National Provider Identifier
1679145486
Registry record updated Feb 24, 2023
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
ALLIANCE MENTAL HEALTH COMMUNITY PARTNERSHIP
Practice address
123 W Blue Starr Dr
Claremore, OK 74017-4226
Phone
(918) 608-0380
Fax
(209) 425-5727
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Candice Morrison, MS LPC-S
Title
Chief Clinical Officer
Phone
(918) 608-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

123 W Blue Starr Dr
Claremore, OK 74017-4226

Mailing address

123 W Blue Starr Dr
Claremore, OK 74017-4226
Phone (918) 608-0380

Other identifiers 1

IdentifierTypeStateIssuer
201071710AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231214002219 OK Part B Supplier - Clinic/Group Practice 1355790437 Receives reassigned benefits from 24 practitioners
Practice locations: Claremore, OK; Clinton, OK; Del City, OK; Elk City, OK; Pryor, OK

National Provider Directory

National Provider Directory
Tax ID family
Alliance Mental Health Community Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1402 N Florence Ave
#2
Claremore, OK 74017

123 W Blue Starr Dr
Claremore, OK 74017
Phone 9186080380716

8 S Elliott St
Pryor, OK 74361

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1679145486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174226",
            "telephone_number": "918-608-0380",
            "fax_number": "209-425-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174226",
            "telephone_number": "918-608-0380",
            "fax_number": "209-425-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MENTAL HEALTH COMMUNITY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "918-608-0380",
        "authorized_official_credential": "MS LPC-S"
    },
    "taxonomies": [
        {
            "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": "201071710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.