| Dayspring Community Services | |
|
116 W 7th Ave Ste 222 Stillwater OK 74074-4050 | |
| (918) 225-0540 | |
| (918) 225-0536 |
| Full Name | Dayspring Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 116 W 7th Ave Ste 222, Stillwater, Oklahoma |
| Authorized Official Name and Position | Mark Conover (CHIEF REVENUE OFFICER) |
| Authorized Official Contact | 6362241210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayspring Community Services 1601 Old South River Rd Saint Charles MO 63303-4120 Ph: (636) 224-1210 | Dayspring Community Services 116 W 7th Ave Ste 222 Stillwater OK 74074-4050 Ph: (918) 225-0540 |
| NPI Number | 1376904086 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 07/29/2022 |
| Certification Date | 01/17/2022 |
| Medicare PECOS PAC ID | 0244256246 |
|---|---|
| Medicare Enrollment ID | O20151014000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376904086 | NPI | - | NPPES |
| 200323940 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Leisa Carrol Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851468516 PECOS PAC ID: 3072870948 Enrollment ID: I20171130002411 |
| Provider Name | Hervey Mac Madden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710017686 PECOS PAC ID: 2860719549 Enrollment ID: I20190412000016 |
| Provider Name | Amy Jeanne Foreman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396154704 PECOS PAC ID: 9234472325 Enrollment ID: I20190513000446 |
| Provider Name | Jacinda Rea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730457300 PECOS PAC ID: 0446548820 Enrollment ID: I20190607002261 |
| Provider Name | Angela Barbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558889568 PECOS PAC ID: 2163859547 Enrollment ID: I20200225000228 |
| Provider Name | Casey Dawn Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841636362 PECOS PAC ID: 6608206271 Enrollment ID: I20200422001449 |
| Provider Name | Jane Montanaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992139869 PECOS PAC ID: 3870986706 Enrollment ID: I20220216002875 |
| Provider Name | Abbi Ceesay Hambright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952766966 PECOS PAC ID: 6305216672 Enrollment ID: I20221230002298 |
| Provider Name | Lindsey Brook Vandeventer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013331057 PECOS PAC ID: 4082074612 Enrollment ID: I20230714001013 |
| Provider Name | Tsogtbaatar Baatar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871145961 PECOS PAC ID: 1355799867 Enrollment ID: I20231122000339 |
| Provider Name | Carolyn Marie Hinsdell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316075641 PECOS PAC ID: 8224486741 Enrollment ID: I20231122000856 |
| Provider Name | Shawna Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255635637 PECOS PAC ID: 8628426061 Enrollment ID: I20231127001178 |
| Provider Name | Connie J Cameron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295003275 PECOS PAC ID: 2769830942 Enrollment ID: I20231129000138 |
| Provider Name | Pamela Louise Brauchi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619927381 PECOS PAC ID: 9032567144 Enrollment ID: I20231130001280 |
| Provider Name | Debbie Elaine Ezenwa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053342097 PECOS PAC ID: 5193173110 Enrollment ID: I20231130002291 |
| Provider Name | Charles S Eckelt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841375821 PECOS PAC ID: 2264880202 Enrollment ID: I20231130002865 |
| Provider Name | Rebecca Lee Foust |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437595451 PECOS PAC ID: 8729436738 Enrollment ID: I20231201001814 |
| Provider Name | Tayler D Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881061885 PECOS PAC ID: 5294183802 Enrollment ID: I20231205002965 |
| Provider Name | Christa B Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861890501 PECOS PAC ID: 5294184982 Enrollment ID: I20231206002587 |
| Provider Name | Erica Danielle Donaldson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538348602 PECOS PAC ID: 7719336460 Enrollment ID: I20231207000802 |
| Provider Name | Jamie L Worstell Wohletz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952944803 PECOS PAC ID: 4688023195 Enrollment ID: I20231209000119 |
| Provider Name | Wendy Dehart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215449343 PECOS PAC ID: 0749637502 Enrollment ID: I20231211000435 |
| Provider Name | Elisabeth Ann Pasco-burke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013110451 PECOS PAC ID: 5991153637 Enrollment ID: I20231211001359 |
| Provider Name | Anita B Polzin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053721290 PECOS PAC ID: 8527415561 Enrollment ID: I20231211002437 |
| Provider Name | Serena K Stoalabarger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821281189 PECOS PAC ID: 7618326026 Enrollment ID: I20231211002973 |
| Provider Name | Chris D Polzin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922375088 PECOS PAC ID: 5395170302 Enrollment ID: I20231211003536 |
| Provider Name | Christopher Nanma Miner Kattiems |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750784104 PECOS PAC ID: 0345699682 Enrollment ID: I20231212000511 |
| Provider Name | Felicia M Lincoln |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821335340 PECOS PAC ID: 8022467364 Enrollment ID: I20231212000677 |
| Provider Name | Jody M Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124373584 PECOS PAC ID: 0840649166 Enrollment ID: I20231212003572 |
| Provider Name | Marianne E Hendricks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407180219 PECOS PAC ID: 7012366297 Enrollment ID: I20231213001869 |
| Provider Name | Lenae S Tippett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427475623 PECOS PAC ID: 2163871385 Enrollment ID: I20231213003484 |
| Provider Name | Mary Kathryn Tyson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538764790 PECOS PAC ID: 3870942097 Enrollment ID: I20231213003584 |
| Provider Name | Keylee Ann Tesar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013248087 PECOS PAC ID: 6507129376 Enrollment ID: I20231214002913 |
| Provider Name | Kimberly J Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932355252 PECOS PAC ID: 6103176888 Enrollment ID: I20231218003069 |
| Provider Name | Carla D Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225426208 PECOS PAC ID: 9830546951 Enrollment ID: I20231220000384 |
| Provider Name | Susan L Rabinovitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083987853 PECOS PAC ID: 6507216264 Enrollment ID: I20231221002392 |
| Provider Name | Kirsten A Mccauley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053965608 PECOS PAC ID: 9739539354 Enrollment ID: I20231222001170 |
| Provider Name | Heidi Leanne Hills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871930586 PECOS PAC ID: 0345690822 Enrollment ID: I20231225000113 |
| Provider Name | Misty D Todd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043551880 PECOS PAC ID: 4082066659 Enrollment ID: I20240118004018 |
| Provider Name | Destiny J Slavens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275114100 PECOS PAC ID: 9537502760 Enrollment ID: I20240205003161 |
| Provider Name | Stephenie N Connelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811354699 PECOS PAC ID: 8628412483 Enrollment ID: I20240220002574 |
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