Organization Active NPI

Grand Mental Health

  • Peer Specialist
  • Vinita, OK
National Provider Identifier
1790612661
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
GRAND MENTAL HEALTH
Practice address
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone
(800) 722-3611
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mr. Dallas Blake Dempsey
Title
Peer Recovery Support Specialist
Phone
(918) 815-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Mailing address

26730 S 670 Rd
Grove, OK 74344-6278
Phone (800) 722-3611

National Provider Directory

National Provider Directory

Locations

405 E Excelsior Ave
Vinita, OK 74301
Phone (918) 256-6476

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1790612661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 S 670 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446278",
            "telephone_number": "800-722-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E EXCELSIOR AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014226",
            "telephone_number": "800-722-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PEER RECOVERY SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "918-815-5944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.