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GRAND MENTAL HEALTH
NPI 1336707256
Clinic/Center - Mental Health (Including Community Mental Health Center) in Perry, OK

Active since June 05, 2019
502 N 14TH ST, PERRY, OK 73077(918) 305-5512(580) 215-5767 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2022, Jul 31, 2020, Jun 18, 2019 and 1 more (4 updates tracked since 2019).

About Grand Mental Health NPPES

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

GRAND MENTAL HEALTH (NPI 1336707256) is a healthcare organization registered as a mental health (including community mental health center) in Perry, Oklahoma and active in the NPI registry since June 2019. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336707256
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address502 N 14TH STPerry, OK 73077-5022
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 305-5512
Fax(580) 215-5767
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateJune 5, 2019
Last NPPES UpdateJune 7, 20224 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1336707256 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
502 N 14TH ST, Perry, OK 73077
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Other Names 1

Doing Business AsGrand Mental Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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.

GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
ASHLEY LYNN GARNER
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (844) 458-2100
KIERSTEN MCCUTCHAN
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (844) 458-2100
MALLORY FAITH STATER
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
STEPHANIE MORRIS
Social Worker
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 984-5170
MAEGAN PHILLIPS
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
DIANA SAMARRIPA
Counselor (Addiction (Substance Use Disorder))
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
MISS LATOSHA MARIE SEAGROVES
Peer Specialist
502 N 14TH ST
PERRY, OK 73077
Noble County (844) 458-2100

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 1336707256. It was assigned to this organization in the NPPES registry on June 5, 2019. 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 502 N 14th St, Perry, OK 73077. The listed phone number is (918) 305-5512.

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.

What insurance does Grand Lake Mental Health Center, Inc. accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Grand Lake Mental Health Center, Inc. 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 Grand Lake Mental Health Center, Inc. was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.