Abraham Colson Bearpaw – Peer Specialist

Key facts

NPI: 1972201622
Entity type: Individual (NPI type 1)
Primary specialty: Peer Specialist 175T00000X
Practice address: 902 Martin Luther King Blvd
Wagoner, OK 74467-6928
Phone: (918) 316-8180
NPI assigned: Feb 22, 2023
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Wrap Project Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Tahlequah, OK · NPI 1194438473

NPD (past) PEER SPECIALIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Wrap Project Inc	Peer Specialist	Past since Feb 26, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Peer Specialist	175T00000X			Yes

Addresses

Primary practice location

902 Martin Luther King Blvd
Wagoner, OK 74467-6928

Mailing address

902 Martin Luther King Blvd
Wagoner, OK 74467-6928
Phone (918) 316-8180

Other providers in Wagoner, OK

Dayna Applegate
Claressa Armer
Zenoide Aucoin-Corbeau, LMSW
Alexandra Azua
Staci Marie Baker
Judith Kay Beck, LPC, LADC
John Belk, M.D.
Amanda Berg
Zoesimone Bess
Cydney, Majiyashekwe Lynn Bgembisa, COUNSELOR

All providers in Wagoner, OK · Peer Specialist in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.