JACOB TODD PENNINGTON II
NPI 1306202643
Case Manager/Care Coordinator in Poteau, OK

Active since December 31, 2015
900 N BROADWAY ST, SUITE 1, POTEAU, OK 74953(918) 649-0772 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Case Manager/Care Coordinator

About JACOB PENNINGTON

This page provides the complete NPI Profile along with additional information for Jacob Pennington, a provider established in Poteau, Oklahoma with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1306202643 assigned on December 2015. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1306202643 Verify this NPI
Provider Name
JACOB TODD PENNINGTON II
Gender
Male
Entity Type
Individual
Location Address
900 N BROADWAY ST SUITE 1 POTEAU, OK 74953
Location Phone
(918) 649-0772
Mailing Address
PO BOX 1335 POTEAU, OK 74953
Mailing Phone
(918) 649-0772
Is Sole Proprietor?
No
Enumeration Date
12-31-2015
Last Update Date
12-31-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor
900 N BROADWAY ST, SUITE 1
POTEAU, OK 74953
Behavior Analyst
900 N BROADWAY ST
POTEAU, OK 74953
Community/Behavioral Health
900 N BROADWAY ST
POTEAU, OK 74953
Psychologist (School)
900 N BROADWAY ST
POTEAU, OK 74953
Behavior Analyst
900 N BROADWAY ST
POTEAU, OK 74953
Counselor (Mental Health)
900 N BROADWAY ST
POTEAU, OK 74953
Counselor (Mental Health)
900 N BROADWAY ST
POTEAU, OK 74953
Counselor (Mental Health)
900 N BROADWAY ST, STE 1
POTEAU, OK 74953
Marriage & Family Therapist
900 N BROADWAY ST, SUITE 1
POTEAU, OK 74953
Counselor
900 N BROADWAY ST
POTEAU, OK 74953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306202643, enumerated as an "individual" on December 31, 2015.

The provider is located at 900 N BROADWAY ST SUITE 1 POTEAU, OK 74953 and the phone number is (918) 649-0772.

Case Manager/Care Coordinator with taxonomy code 171M00000X.