Yco Tulsa, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

YCO TULSA, INC

Doing business as

YouthCare of Oklahoma

Practice address

1323 N 16TH Ave
Durant, OK 74701-2134

Phone

(866) 926-6552

NPI assigned

Aug 6, 2006

Last updated

Oct 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Lobato

Title

Ceo

Phone

(866) 926-6552

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• YouthCare of Oklahoma Doing business as

Tax ID family

Yco Tulsa17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

• Yco Tulsa

  dba YouthCare of Oklahoma - Tulsa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yukon, OK
  • NPI 1194199968
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma

  • Professional Counselor
  • Claremore, OK
  • NPI 1013224716
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulsa, OK
  • NPI 1164956306
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma - Miami

  • Professional Counselor
  • Miami, OK
  • NPI 1164958567
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cordell, OK
  • NPI 1215245600
  NPD tax ID
• Yco Tulsa, Inc

  dba Youthcare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chickasha, OK
  • NPI 1457710584
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk City, OK
  • NPI 1629087895
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma - Cleveland

  • Professional Counselor
  • Cleveland, OK
  • NPI 1669907580
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma - Pryor

  • Professional Counselor
  • Pryor, OK
  • NPI 1679009104
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, OK
  • NPI 1891704060
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma - Chouteau

  • Professional Counselor
  • Chouteau, OK
  • NPI 1902331820
  NPD tax ID
• Yco Tulsa, Inc

  dba YouthCare of Oklahoma - Collinsville

  • Professional Counselor
  • Collinsville, OK
  • NPI 1922533843
  NPD tax ID

Locations

Practitioners 4

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.

• Kayla Renee Perez, BSW, MS

  • Counselor
  • Watonga, OK
  • NPI 1154637411
  NPD (past)
• Janet Sinclair

  • Case Manager/Care Coordinator
  • Watonga, OK
  • NPI 1447776786
  NPD (past)
• Joni Vanmeter

  • Case Manager/Care Coordinator
  • Yukon, OK
  • NPI 1518433994
  NPD (past)
• Miriam Vaughan

  • Community Health Worker
  • Watonga, OK
  • NPI 1285150847
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1871502047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95207",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731435207",
            "telephone_number": "866-926-6552",
            "fax_number": "580-547-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "866-926-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 1/2 E 1st Street",
            "address_purpose": "LOCATION",
            "city": "Watonga",
            "state": "OK",
            "postal_code": "737723817",
            "country_code": "US",
            "telephone_number": "866-926-6552",
            "fax_number": "580-623-5992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 E Main St",
            "address_purpose": "LOCATION",
            "city": "Watonga",
            "state": "OK",
            "postal_code": "737723832",
            "country_code": "US",
            "telephone_number": "580-623-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YCO TULSA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LOBATO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-926-6552"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "100744460D",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744460D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YouthCare of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YouthCare of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rayce Wright
• Jerry Wyatt, MBS
• Lauraly Wyatt, MBS
• Alecia Wyrick, COTA
• Kerri Dawn Wyrick
• Breawna Lachel Young, COTA/L
• Youth Services of Bryan County, Inc
• Peiqing Zheng
• Riana Rose Zimmerman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Durant, OK
• Providers in Durant, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.