NPIMap

Organization Active NPI

Modoc Nation Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, OK
National Provider Identifier
1821636358
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MODOC NATION BEHAVIORAL HEALTH
Doing business as
Modoc Nation Behavioral Health
Practice address
24 N Eight Tribes TRL
Miami, OK 74354-1011
Phone
(918) 387-8720
Fax
(918) 956-2970
NPI assigned
Dec 16, 2019
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Laci Barton, APRN-CNPNPI 1669984126
Title
Director of Operations
Phone
(918) 387-8720

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

24 N Eight Tribes TRL
Miami, OK 74354-1011

Mailing address

22 N Eight Tribes TRL
Miami, OK 74354-1011
Phone (918) 387-8720

Other practice location 1

14901 S Highway 125
Miami, OK 74354-5128
Phone (918) 876-0437

Other identifiers 1

IdentifierTypeStateIssuer
SKOK0MedicaidOK

Other names 1

  • Modoc Nation Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lost River Treatment Center2 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

14901 S Highway 125
Miami, OK 74354
Phone (918) 876-0437

24 N Eight Tribes Trl
Miami, OK 74354
Phone (918) 387-8720

615 H St SE
Miami, OK 74354
Phone (918) 387-8720

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1821636358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N EIGHT TRIBES TRL",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541011",
            "telephone_number": "918-387-8720",
            "fax_number": "918-238-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N EIGHT TRIBES TRL",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541011",
            "telephone_number": "918-387-8720",
            "fax_number": "918-956-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14901 S Highway 125",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743545128",
            "country_code": "US",
            "telephone_number": "918-876-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODOC NATION BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "LACI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "918-387-8720",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SKOK0",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modoc Nation Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modoc Nation Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.