RELIANCE MENTAL HEALTH CLINIC
NPI 1124705348
Family Medicine in Bethany, OK
About Reliance Mental Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RELIANCE MENTAL HEALTH CLINIC (NPI 1124705348), doing business as Reliance Mental Health And Functional Medicine, is a healthcare organization registered as a family medicine in Bethany, Oklahoma and active in the NPI registry since June 2023. The organization lists Nicoline Lami Edie, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reliance Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Reliance Mental Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Reliance Mental Health Clinic's NPI number?
The NPI number for Reliance Mental Health Clinic is 1124705348. It was assigned to this organization in the NPPES registry on June 29, 2023. The provider is doing business as Reliance Mental Health and Functional Medicine.
Where is Reliance Mental Health Clinic located?
Reliance Mental Health Clinic is located at 7415 NW 23rd St, Bethany, OK 73008. The listed phone number is (405) 999-9999.
What is Reliance Mental Health Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Reliance Mental Health Clinic enrolled in Medicare?
Yes. Reliance Mental Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Reliance Mental Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Reliance Mental Health Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Reliance Mental Health Clinic accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Reliance Mental Health Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Reliance Mental Health Clinic was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Reliance Mental Health Clinic · NPI 1124705348
Family Medicine organization in Bethany, Oklahoma. Organization record, active in the CMS NPPES registry since June 29, 2023.
## Identity
- **NPI:** 1124705348 (Entity type: Organization)
- **Enumerated:** June 29, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Reliance Mental Health and Functional Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Nicoline Edie, OWNER
## Practice location
- **Address:** 7415 NW 23RD ST, Bethany, OK 73008-5135
- **Phone:** (405) 999-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124705348) · Data from the CMS NPPES public registry.