| Creoks Mental Health Services | |
|
4103 S Yale Ave Ste B Tulsa OK 74135-6002 | |
| (918) 382-7300 | |
| Not Available |
| Full Name | Creoks Mental Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4103 S Yale Ave Ste B, Tulsa, Oklahoma |
| Authorized Official Name and Position | Brent M. Black (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9187569411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creoks Mental Health Services 4103 S Yale Ave Ste B Tulsa OK 74135-6002 Ph: (918) 382-7300 | Creoks Mental Health Services 4103 S Yale Ave Ste B Tulsa OK 74135-6002 Ph: (918) 382-7300 |
| NPI Number | 1841311289 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Medicare PECOS PAC ID | 0749591469 |
|---|---|
| Medicare Enrollment ID | O20161101000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841311289 | NPI | - | NPPES |
| 100734620J | Medicaid | OK | |
| 100734620H | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100734620H (Oklahoma) | Primary |
| Provider Name | Joyce Bumgardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497815187 PECOS PAC ID: 0840189163 Enrollment ID: I20040315000195 |
| Provider Name | Stacy E Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770572091 PECOS PAC ID: 8820034358 Enrollment ID: I20050908000091 |
| Provider Name | Dawn Marie Lafromboise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497818926 PECOS PAC ID: 7618991415 Enrollment ID: I20060126000873 |
| Provider Name | Satwant Tandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457414617 PECOS PAC ID: 6406824325 Enrollment ID: I20090305000113 |
| Provider Name | Bert Eric Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649221177 PECOS PAC ID: 3072709989 Enrollment ID: I20101117001567 |
| Provider Name | George Michael Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144392804 PECOS PAC ID: 3870768864 Enrollment ID: I20111201000689 |
| Provider Name | Terrah L Manes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043415474 PECOS PAC ID: 0345474342 Enrollment ID: I20131007000444 |
| Provider Name | William B Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578524963 PECOS PAC ID: 9335367853 Enrollment ID: I20140826000397 |
| Provider Name | Mary R Kreilaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417100439 PECOS PAC ID: 2365766193 Enrollment ID: I20150126001856 |
| Provider Name | Kama R Gettings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477072460 PECOS PAC ID: 0648536466 Enrollment ID: I20171113000131 |
| Provider Name | Karen Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679813349 PECOS PAC ID: 0941562748 Enrollment ID: I20180314001457 |
| Provider Name | Julie A Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932481579 PECOS PAC ID: 6406196302 Enrollment ID: I20190312002345 |
| Provider Name | Laurie Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861276 PECOS PAC ID: 1759667868 Enrollment ID: I20200313001796 |
| Provider Name | Huong M Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915324 PECOS PAC ID: 4082002613 Enrollment ID: I20211101000302 |
| Provider Name | Gabrielle Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699366534 PECOS PAC ID: 5294144994 Enrollment ID: I20230616003406 |
| Provider Name | Misty Bilby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962870048 PECOS PAC ID: 5092169698 Enrollment ID: I20231002000776 |
| Provider Name | Denise Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720403256 PECOS PAC ID: 6406201441 Enrollment ID: I20231011004013 |
| Provider Name | Adam King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871966416 PECOS PAC ID: 7618322256 Enrollment ID: I20231017001442 |
| Provider Name | Brandi Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316048580 PECOS PAC ID: 7618322272 Enrollment ID: I20231017002299 |
| Provider Name | Tom Seidel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265848584 PECOS PAC ID: 1951757392 Enrollment ID: I20231021000232 |
| Provider Name | Meghan Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750739231 PECOS PAC ID: 3173979549 Enrollment ID: I20231023001023 |
| Provider Name | Melissa Slape |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548792237 PECOS PAC ID: 7810343035 Enrollment ID: I20231025000096 |
| Provider Name | Breandan Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841554821 PECOS PAC ID: 2567818644 Enrollment ID: I20231025002691 |
| Provider Name | Linda Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114187887 PECOS PAC ID: 0547616591 Enrollment ID: I20231026002394 |
| Provider Name | Maria Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245616994 PECOS PAC ID: 0840646667 Enrollment ID: I20231030002615 |
| Provider Name | Chantri Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497177117 PECOS PAC ID: 9931555760 Enrollment ID: I20231030003136 |
| Provider Name | Marna Gonzalez Schmenk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285242735 PECOS PAC ID: 7113373770 Enrollment ID: I20231102001452 |
| Provider Name | Rachel Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700040862 PECOS PAC ID: 7618324146 Enrollment ID: I20231106001593 |
| Provider Name | Alexis Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649883885 PECOS PAC ID: 1153778568 Enrollment ID: I20231107001542 |
| Provider Name | Jacqueline Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689876757 PECOS PAC ID: 3375990146 Enrollment ID: I20231116000135 |
| Provider Name | Jillian Janer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609490416 PECOS PAC ID: 1355798067 Enrollment ID: I20231116002115 |
| Provider Name | Corey Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043850829 PECOS PAC ID: 7012364706 Enrollment ID: I20231117001767 |
| Provider Name | Margaret Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316555345 PECOS PAC ID: 3173970860 Enrollment ID: I20231117001913 |
| Provider Name | Ashley M Seck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396306635 PECOS PAC ID: 0547618142 Enrollment ID: I20231120002943 |
| Provider Name | Lisa Waddell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023610276 PECOS PAC ID: 0345698916 Enrollment ID: I20231121002225 |
| Provider Name | Stephanie Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114648714 PECOS PAC ID: 6204284706 Enrollment ID: I20231122000181 |
| Provider Name | Katherine Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912271479 PECOS PAC ID: 7416305925 Enrollment ID: I20231122000419 |
| Provider Name | Sarah Byerly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316365240 PECOS PAC ID: 3678916137 Enrollment ID: I20240212002794 |
| Provider Name | Carolyn Rae Parks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306131750 PECOS PAC ID: 9739525296 Enrollment ID: I20240307001035 |
| Provider Name | Heather Dawn Gilliam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558964353 PECOS PAC ID: 0648616045 Enrollment ID: I20240307002549 |
| Provider Name | Adam Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093254641 PECOS PAC ID: 6901242155 Enrollment ID: I20240311000013 |
| Provider Name | Lindsey Cloren Shreve Fielding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639596323 PECOS PAC ID: 8729426960 Enrollment ID: I20240405002611 |
| Provider Name | Mary Elaine Marlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871008565 PECOS PAC ID: 7214375450 Enrollment ID: I20240405002868 |
| Provider Name | Sharolyn Jan Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952488124 PECOS PAC ID: 0143668269 Enrollment ID: I20240409000392 |
| Provider Name | Chris Dhoku |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932430915 PECOS PAC ID: 9830538958 Enrollment ID: I20240422001870 |
| Provider Name | Jennifer Blondell Woolett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437422706 PECOS PAC ID: 3779924329 Enrollment ID: I20240514000645 |
| Provider Name | Kellyn Hampton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497059968 PECOS PAC ID: 0042651606 Enrollment ID: I20240514001048 |
| Provider Name | Deborah Tiger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770011389 PECOS PAC ID: 9830530427 Enrollment ID: I20240514002097 |
| Provider Name | K'lynne Michele Escott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083734495 PECOS PAC ID: 3173964798 Enrollment ID: I20240514003404 |
| Provider Name | Jeanine Vest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306343546 PECOS PAC ID: 4880035302 Enrollment ID: I20240515002899 |
| Provider Name | Brenda Kaye Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609068501 PECOS PAC ID: 1355782772 Enrollment ID: I20240515003223 |
Family & Children's Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Eightth Street, Tulsa, OK 74119 Phone: 918-585-3227 | |
Destined For Greatness Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 E Young St, Tulsa, OK 74110 Phone: 918-382-0146 | |
Serenity Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5103 S Sheridan Rd # 323, Tulsa, OK 74145 Phone: 918-764-6134 | |
Exhale Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 S Denver Ave, Tulsa, OK 74119 Phone: 918-900-1511 | |
Human Skills And Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 S Harvard Ave, Tulsa, OK 74114 Phone: 918-747-6377 Fax: 918-747-8594 | |
Family & Life Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7633 E. 63rd Place, Suite 300, Tulsa, OK 74133 Phone: 918-695-2495 | |
Shanna Eischen Consulting And Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6308 E 15th St Ste 2c, Tulsa, OK 74112 Phone: 918-695-0996 |