NPIMap

Organization Active NPI

Oklahoma Families First Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ardmore, OK
National Provider Identifier
1790887602
Registry record updated Apr 26, 2021
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
OKLAHOMA FAMILIES FIRST INC
Practice address
2015 W Broadway St Ste 51a
Ardmore, OK 73401-2501
Phone
(580) 226-9388
Fax
(580) 226-9395
NPI assigned
Sep 1, 2006
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OKLAHOMA FAMILIES FIRST, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Mrs. Stephanie WilsonNPI 1770794562
Title
Qa/Ur Director
Phone
(405) 360-2133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2015 W Broadway St Ste 51a
Ardmore, OK 73401-2501

Mailing address

2600 Van Buren St Ste 2634
Norman, OK 73072-5610
Phone (405) 360-2133

Other identifiers 1

IdentifierTypeStateIssuer
100744520 BMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180608000463 OK Part B Supplier - Clinic/Group Practice 8628323912 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ardmore, OK; Muskogee, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Families First Inc12 organizations share this tax ID, including this one
Part of
Oklahoma Families First Inc

Other organizations with this tax ID 11

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

Locations

118 E Main St
Holdenville, OK 74848
Phone (405) 379-5256

928 N York St
Ste 44B
Muskogee, OK 74403
Phone (918) 686-5588

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1790887602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST STE 2634",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725610",
            "telephone_number": "405-360-2133",
            "fax_number": "405-360-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W BROADWAY ST STE 51A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012501",
            "telephone_number": "580-226-9388",
            "fax_number": "580-226-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA FAMILIES FIRST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKLAHOMA FAMILIES FIRST, INC",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "QA/UR DIRECTOR",
        "authorized_official_telephone_number": "405-360-2133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744520 B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.