| Yco Alliance | |
|
1402 N Florence Ave Ste B Claremore OK 74017-3159 | |
| (918) 608-0380 | |
| (918) 770-9337 |
| Full Name | Yco Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 1402 N Florence Ave Ste B, Claremore, Oklahoma |
| Authorized Official Name and Position | Ronald Lobato (CEO) |
| Authorized Official Contact | 9186080380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yco Alliance Po Box 12192 Denver CO 80212-0192 Ph: (918) 608-0380 | Yco Alliance 1402 N Florence Ave Ste B Claremore OK 74017-3159 Ph: (918) 608-0380 |
| NPI Number | 1053602649 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 0345670733 |
|---|---|
| Medicare Enrollment ID | O20200427002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053602649 | NPI | - | NPPES |
| 200345410C | Medicaid | OK | |
| 200345410A | Medicaid | OK | |
| 200345410D | Medicaid | OK | |
| 200345410B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Melissa M Vanderhoof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710211719 PECOS PAC ID: 9537391032 Enrollment ID: I20140416000998 |
| Provider Name | Jennifer Kauffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588707202 PECOS PAC ID: 1850611997 Enrollment ID: I20150513001589 |
| Provider Name | Kelly M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588113831 PECOS PAC ID: 4981989993 Enrollment ID: I20170314000068 |
| Provider Name | Carrie Hagler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407135379 PECOS PAC ID: 0749559862 Enrollment ID: I20170706000023 |
| Provider Name | Jacinda Rea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730457300 PECOS PAC ID: 0446548820 Enrollment ID: I20190607002261 |
| Provider Name | Lauren Kester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619265634 PECOS PAC ID: 3971934977 Enrollment ID: I20200507000040 |
| Provider Name | Jennifer Nicole French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477922086 PECOS PAC ID: 8022366269 Enrollment ID: I20200608001916 |
| Provider Name | William Maynard Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609918168 PECOS PAC ID: 6709207301 Enrollment ID: I20200608002027 |
| Provider Name | Abby Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821581703 PECOS PAC ID: 5193145191 Enrollment ID: I20201013001557 |
| Provider Name | Jess E Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184197717 PECOS PAC ID: 3274942834 Enrollment ID: I20210511002329 |
| Provider Name | Suzanne Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417356577 PECOS PAC ID: 4385048305 Enrollment ID: I20210812000785 |
| Provider Name | Robert Meador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962994301 PECOS PAC ID: 6608266416 Enrollment ID: I20211210000785 |
| Provider Name | Carl Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972882744 PECOS PAC ID: 7012149636 Enrollment ID: I20211214002084 |
| Provider Name | Samantha Erin Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134424278 PECOS PAC ID: 6800275074 Enrollment ID: I20220617000880 |
| Provider Name | Laura Jennifer Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700461332 PECOS PAC ID: 7214313477 Enrollment ID: I20220926003235 |
| Provider Name | Abbigaile Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720631757 PECOS PAC ID: 8820468267 Enrollment ID: I20221230000356 |
| Provider Name | Rita Giglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811504038 PECOS PAC ID: 6305258344 Enrollment ID: I20230313002194 |
| Provider Name | Hailey S Walsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023660222 PECOS PAC ID: 0840647590 Enrollment ID: I20231117000121 |
| Provider Name | Candice Michelle Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780904318 PECOS PAC ID: 8224486931 Enrollment ID: I20231117003077 |
| Provider Name | Carol Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801166772 PECOS PAC ID: 9436507159 Enrollment ID: I20231118000187 |
| Provider Name | James Walls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013316314 PECOS PAC ID: 1456709187 Enrollment ID: I20231118000520 |
| Provider Name | Ann Ellen Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720412455 PECOS PAC ID: 7517315054 Enrollment ID: I20231122001793 |
| Provider Name | Cleshawn Dubose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174871107 PECOS PAC ID: 6204284698 Enrollment ID: I20231124000308 |
| Provider Name | Gina Roselette Childers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760718167 PECOS PAC ID: 0547618894 Enrollment ID: I20231127001978 |
| Provider Name | Charles Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447770086 PECOS PAC ID: 4284082439 Enrollment ID: I20231128002779 |
| Provider Name | Todd J Smetana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003175704 PECOS PAC ID: 0446608657 Enrollment ID: I20231129001157 |
| Provider Name | Vickie Diane Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760765374 PECOS PAC ID: 6608224753 Enrollment ID: I20231129003074 |
| Provider Name | Desiree Potter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881066587 PECOS PAC ID: 3779932405 Enrollment ID: I20231207000113 |
| Provider Name | Joseph Harry Wheeler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396110961 PECOS PAC ID: 7416309133 Enrollment ID: I20240118001993 |
| Provider Name | Briana King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063075083 PECOS PAC ID: 8527409911 Enrollment ID: I20240516001641 |
| Provider Name | Shawna D Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912363417 PECOS PAC ID: 0042651358 Enrollment ID: I20240516002560 |
| Provider Name | Kimberly L Duel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285063750 PECOS PAC ID: 4688116973 Enrollment ID: I20240531003861 |
Youthcare Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W 12th St, Claremore, OK 74017 Phone: 866-926-6552 Fax: 918-289-0551 | |
Jeffrey K Mcilroy Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2990 N Sioux Ave, Claremore, OK 74017 Phone: 918-342-2622 Fax: 918-342-2641 | |
Rogers County Youth Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 N Highway 88, Claremore, OK 74017 Phone: 918-341-7580 Fax: 918-341-7977 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-342-0770 | |
A Peace Within, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 N Florence Ave, Suite A, Claremore, OK 74017 Phone: 918-697-4201 | |
Rogers County Training Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 El Anderson Blvd, Claremore, OK 74017 Phone: 918-341-5936 |