ADDICTION WELLNESS CENTER OK LLC
NPI 1124719596
Community/Behavioral Health in Oklahoma City, OK

Active since May 17, 2023
1800 E MEMORIAL RD STE 101, OKLAHOMA CITY, OK 73131(405) 446-5714 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Feb 28, 2025, Feb 18, 2025 and 2 more (5 updates tracked since 2023).

About Addiction Wellness Center Ok Llc NPPES

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

ADDICTION WELLNESS CENTER OK LLC (NPI 1124719596) is a healthcare organization registered as a community/behavioral health in Oklahoma City, Oklahoma and active in the NPI registry since May 2023. The organization lists Jessie Costley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124719596
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameADDICTION WELLNESS CENTER OK LLC
Location Address1800 E MEMORIAL RD STE 101Oklahoma City, OK 73131-1827
Mailing Address1100 Business Pkwy S Ste 1Westminster, MD 21157-3048
Organization SubpartNo
Authorized OfficialJessie CostleyCredentialing Specialist · (443) 839-6928
Enumeration DateMay 17, 2023
Last NPPES UpdateApril 23, 20265 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1124719596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1800 E MEMORIAL RD STE 101, Oklahoma City, OK 73131

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1800 E MEMORIAL RD STE 101
OKLAHOMA CITY, OK 73131

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 Addiction Wellness Center Ok LLC's NPI number?

The NPI number for Addiction Wellness Center Ok LLC is 1124719596. It was assigned to this organization in the NPPES registry on May 17, 2023.

Where is Addiction Wellness Center Ok LLC located?

Addiction Wellness Center Ok LLC is located at 1800 E Memorial Rd Ste 101, Oklahoma City, OK 73131. The listed phone number is (405) 446-5714.

What is Addiction Wellness Center Ok LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Addiction Wellness Center Ok LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Addiction Wellness Center Ok LLC 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 Addiction Wellness Center Ok LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.