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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI 1033038914
Clinic/Center - Mental Health (Including Community Mental Health Center) in Alva, OK

Active since July 14, 2026
604 CHOCTAW ST, ALVA, OK 73717(580) 327-1112 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Lake Mental Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI 1033038914), doing business as Grand Mental Health, is a healthcare organization registered as a mental health (including community mental health center) in Alva, Oklahoma and active in the NPI registry since July 2026. The organization lists Joshua Cantwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033038914
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address604 CHOCTAW STAlva, OK 73717-1626
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(580) 327-1112
Organization SubpartNo
Authorized OfficialJoshua CantwellCeo · (918) 273-1841
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1033038914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
604 CHOCTAW ST, Alva, OK 73717
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Other Names 1

Doing Business AsGrand Mental Health

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEREMY D LOGSDON CNP- FAMILY
Nurse Practitioner (Family)
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1118
ERIN LEHR
Counselor
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112
TAMARA SEVERIN
Counselor (Mental Health)
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112
CAROL YARUSINSKY
Counselor (Mental Health)
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112
JAYLYN SHERIDAN MCDONALD BS
Social Worker
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112
JAYLYN SHERIDAN MCDONALD BS
Case Manager/Care Coordinator
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112
MRS. SANDRA KAY CLEPPER LPN
Licensed Practical Nurse
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112
DEIDRA MICHELLE FRAIRE
Peer Specialist
604 CHOCTAW ST
ALVA, OK 73717
Woods County (580) 327-1112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Lake Mental Health Center, Inc.'s NPI number?

The NPI number for Grand Lake Mental Health Center, Inc. is 1033038914. It was assigned to this organization in the NPPES registry on July 14, 2026. The provider is doing business as GRAND Mental Health.

Where is Grand Lake Mental Health Center, Inc. located?

Grand Lake Mental Health Center, Inc. is located at 604 Choctaw St, Alva, OK 73717. The listed phone number is (580) 327-1112.

What is Grand Lake Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center, Inc. was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.