Mending Hearts LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

15525610002 Issued in OK

Legal business name

MENDING HEARTS LLC

Practice address

3212 SW 104TH Ter
Oklahoma City, OK 73159-7800

Phone

(405) 821-7767

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Komahcheet, LADC, ICAADCNPI 1972829901

Title

Co-Owner/President

Phone

(405) 213-3700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa De Amber Komahcheet, LADC

  • Counselor
  • Oklahoma City, OK
  • NPI 1972829901
  NPD (past) Authorized official

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1992015689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890900",
            "telephone_number": "405-821-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SW 104TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597800",
            "telephone_number": "405-821-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "KOMAHCHEET",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CO-OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-213-3700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC, ICAADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "15525610002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob William Buster Mendenhall, MD
• Ashley Marie Mendez-Kestler
• Diana Carolina Mendez
• Gregory S Mendiaz, DC
• Mending Hearts and Helping Souls, LLC
• Michaelyn Dawn Mendiola
• Tasia Victoria Mendiola, LPC
• Julia Mendonca
• Abel Mendoza, MSN, APRN, AGCNS- BC
• Alysia Anne Mendoza, MD

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.