Organization Active NPI

Oklahoma Mental Health Council

  • Community/Behavioral Health Agency
  • Shawnee, OK
National Provider Identifier
1871708313
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OKLAHOMA MENTAL HEALTH COUNCIL
Practice address
1336 N Harrison Ave
Shawnee, OK 74801-5206
Phone
(405) 424-7711
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Angi Maxwell-Duverger
Title
Manager, Credentialing
Phone
(405) 425-0428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1336 N Harrison Ave
Shawnee, OK 74801-5206

Mailing address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone (405) 424-7711

Other identifiers 1

IdentifierTypeStateIssuer
100635250HMedicaidOK

Other names 1

  • Red Rock Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red Rock Behavioral Health Services53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

101 N Union Ave
Shawnee, OK 74801
Phone (405) 275-7100

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1871708313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055104",
            "telephone_number": "405-424-7711",
            "fax_number": "405-425-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 N HARRISON AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015206",
            "telephone_number": "405-424-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA MENTAL HEALTH COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "MAXWELL-DUVERGER",
        "authorized_official_first_name": "ANGI",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "405-425-0428"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100635250H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Rock Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.