Landmark Recovery Outpatient Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LANDMARK RECOVERY OUTPATIENT SERVICES, LLC

Doing business as

Landmark Recovery of Oklahoma City Outpatient Services

Practice address

4825 NW 23Rd St
Oklahoma City, OK 73127-1800

Phone

(888) 448-0302

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Prochut

Title

Credentialing Specialist

Phone

(480) 619-8556

Specialties & licenses 1

Addresses

Other names 1

• Landmark Recovery of Oklahoma City Outpatient Services Doing business as

Tax ID family

Landmark Recovery of Lexington4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Landmark Recovery Outpatient Services, LLC

  dba Landmark Recovery of Tulsa Outpatient Services

  • Adult Mental Health Clinic/Center
  • Tulsa, OK
  • NPI 1194297341
  NPD tax ID
• Landmark Recovery Outpatient Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1063999761
  NPD tax ID
• Landmark Recovery Outpatient Services LLC

  dba Landmark Recovery of Lexington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1972075844
  NPD tax ID

Locations

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1821562919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543545",
            "telephone_number": "888-448-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271800",
            "telephone_number": "888-448-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "PROCHUT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-619-8556"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Recovery of Oklahoma City Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patti Sue Landers, PH.D., R.D./L.D.
• Alessandra Landmann, MD
• Landmark Recovery of Louisville LLC (Landmark Recovery of Oklahoma City)
• Landmark Recovery of Oklahoma City Ops LLC
• Landmark Recovery of Oklahoma City, LLC
• Landolfi Counseling Services, PLLC
• Angela Ruth Landon, MSW, LCSW
• Aubrey Landreneau
• Rachael Ann Landreville
• Wyatt Matthew Landrith

• Adult Mental Health Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Adult Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.