GRAND LAKE MEDICAL HEALTH CENTER
NPI 1235534355
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bartlesville, OK

Active since October 31, 2014
700 SW PENN AVE, BARTLESVILLE, OK 74003(918) 273-1841 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grand Lake Medical Health Center NPPES

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

GRAND LAKE MEDICAL HEALTH CENTER (NPI 1235534355) is a healthcare organization registered as a mental health (including community mental health center) in Bartlesville, Oklahoma and active in the NPI registry since October 2014. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235534355
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address700 SW PENN AVEBartlesville, OK 74003-3847
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateOctober 31, 2014
Last NPPES UpdateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1235534355 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
700 SW PENN AVE, Bartlesville, OK 74003

Other Names 1

Doing Business AsGrand Lake Medical Health Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Lake Medical Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

333

Medicare enrollment records show 333 clinicians reassign Medicare billing to Grand Lake Medical Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Mental Health Counselor187
Clinical Social Worker118
Marriage and Family Therapist15
Nurse Practitioner7
Psychiatry5
Clinical Psychologist1

Nearest to this location (20)

See all 333
Mental Health Counselor
NPI 1073772752
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOSSame address
Clinical Social Worker
NPI 1023661493
700 SW PENN
Bartlesville, OK 74003
(918) 337-8080
✔ PECOSSame address
Nurse Practitioner
NPI 1497045454
700 S PENN AVE
Bartlesville, OK 74003
(918) 273-1841
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1417566852
700 S PENN AVE
Bartlesville, OK 74003
(918) 619-7343
✔ PECOSSame address
Mental Health Counselor
NPI 1649664061
700 SW PENN
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1609427608
700 S PENN AVE
Bartlesville, OK 74003
(918) 934-7941
✔ PECOS✔ Accepts Medicare0.1 mi
Marriage and Family Therapist
NPI 1700147816
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1477187870
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1083004204
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1295004844
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1871884536
700 S PENN AVENUE
Bartlesville, OK 74003
(918) 200-7263
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1306384458
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1679839617
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1043618234
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1356853725
700 SW PENN AVENUE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1558608901
700 S PENN AVE
Bartlesville, OK 74003
(918) 440-1454
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1760830764
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1174276976
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1255807004
700 S PENN AVE
Bartlesville, OK 74003
(918) 639-3122
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1346932878
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS0.1 mi
See all 333 clinicians

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

The NPI number for Grand Lake Mental Health Center, Inc. is 1235534355. It was assigned to this organization in the NPPES registry on October 31, 2014. The provider is doing business as Grand Lake Medical Health Center.

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

Grand Lake Mental Health Center, Inc. is located at 700 SW Penn Ave, Bartlesville, OK 74003. The listed phone number is (918) 273-1841.

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.

Is Grand Lake Mental Health Center, Inc. enrolled in Medicare?

Yes. Grand Lake Mental Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Lake Mental Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 333 clinicians in 6 Medicare specialties reassign their Medicare billing to Grand Lake Mental Health Center, Inc.. 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. The largest specialties are Mental Health Counselor (187), Clinical Social Worker (118) and Marriage and Family Therapist (15). Of these, 4 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center, Inc. was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.