| Focus Mental Health Services, Llc | |
|
1127 N Kickapoo Ave Shawnee OK 74801-4845 | |
| (405) 214-0116 | |
| (877) 334-8552 |
| Full Name | Focus Mental Health Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1127 N Kickapoo Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Johnie Fredman (OWNER) |
| Authorized Official Contact | 4052140016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Focus Mental Health Services, Llc 33207 45th St Shawnee OK 74804-3423 Ph: (405) 214-0116 | Focus Mental Health Services, Llc 1127 N Kickapoo Ave Shawnee OK 74801-4845 Ph: (405) 214-0116 |
| NPI Number | 1851658959 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 05/19/2016 |
| Medicare PECOS PAC ID | 9739420019 |
|---|---|
| Medicare Enrollment ID | O20190415001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851658959 | NPI | - | NPPES |
| 1427388313 | Other | OK | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4469 (Oklahoma) | Primary |
| Provider Name | Johnie Dean Fredman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427388313 PECOS PAC ID: 6608117981 Enrollment ID: I20240131005065 |
| Provider Name | Leonard L Keele |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346987617 PECOS PAC ID: 6800232414 Enrollment ID: I20240306000265 |
| Provider Name | Misty Michelle Douthit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487966958 PECOS PAC ID: 8921444563 Enrollment ID: I20240306001274 |
| Provider Name | Karen Michele Lemmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649707035 PECOS PAC ID: 3375981079 Enrollment ID: I20240401000770 |
| Provider Name | Andrea Boston |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316380371 PECOS PAC ID: 0345688727 Enrollment ID: I20240404000381 |
| Provider Name | David Delker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689085011 PECOS PAC ID: 5395183222 Enrollment ID: I20240410003254 |
| Provider Name | Susan Leigh Mustafina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689952129 PECOS PAC ID: 6901245885 Enrollment ID: I20240412000501 |
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