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PINE RIDGE MENTAL HEALTHCARE, LLC
NPI 1346828050
Psychiatry & Neurology - Psychiatry in Owasso, OK

Active since April 01, 2021CLIA 37D2274214 · Waiver
8418 N 123RD EAST AVE, OWASSO, OK 74055(918) 858-4353 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, Dec 2, 2022, Jan 30, 2022 and 3 more (6 updates tracked since 2021).

About Pine Ridge Mental Healthcare, Llc NPPES

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

PINE RIDGE MENTAL HEALTHCARE, LLC (NPI 1346828050) is a healthcare organization registered as a psychiatry in Owasso, Oklahoma and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through December 27, 2026, maintains a secondary practice location in Jenks, and lists Nicole Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1346828050
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePINE RIDGE MENTAL HEALTHCARE, LLC
Location Address8418 N 123RD EAST AVEOwasso, OK 74055-2139
Mailing Address8418 N 123rd East AveOwasso, OK 74055-2139 · (918) 858-4353 · Fax (866) 246-2942
Phone(918) 858-4353
Organization SubpartNo
Authorized OfficialNicole MasonOwner · (618) 781-8686
Enumeration DateApril 1, 2021
Last NPPES UpdateApril 6, 20266 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1346828050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse's AideTaxonomy 376K00000X
8418 N 123RD EAST AVE, Owasso, OK 74055
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Secondary Practice Location 1

Location 1329 S Elm St Ste 240Jenks, OK 74037-3765 · Phone (918) 858-4353 · Fax (866) 246-2942

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2274214

Pine Ridge Mental Healthcare, LLC · Owasso, OK
Active · expires Dec 27, 2026
CLIA Number37D2274214
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorNicole M. Mason
Laboratory Phone(918) 858-4353
Laboratory LocationPine Ridge Mental Healthcare, LLC8418 N 123rd East Ave, Owasso, OK 74055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MR. CURTIS CEASAR MARTINEZ PA
Physician Assistant
8418 N 123RD EAST AVE
OWASSO, OK 74055
Tulsa County (918) 858-4353
ILONA WILLYARD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8418 N 123RD EAST AVE
OWASSO, OK 74055
Tulsa County (918) 858-4353
MRS. KELSEY MICHELLE HAYNES
Physician Assistant
8418 N 123RD EAST AVE
OWASSO, OK 74055
Tulsa County (918) 858-4353
WANJIRU LANDERS
Physician Assistant
8418 N 123RD EAST AVE
OWASSO, OK 74055
Tulsa County (918) 858-4353

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 Pine Ridge Mental Healthcare, LLC's NPI number?

The NPI number for Pine Ridge Mental Healthcare, LLC is 1346828050. It was assigned to this organization in the NPPES registry on April 1, 2021.

Where is Pine Ridge Mental Healthcare, LLC located?

Pine Ridge Mental Healthcare, LLC is located at 8418 N 123rd East Ave, Owasso, OK 74055. The listed phone number is (918) 858-4353.

What is Pine Ridge Mental Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Pine Ridge Mental Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2274214) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Ridge Mental Healthcare, 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 list Pine Ridge Mental Healthcare, 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 Pine Ridge Mental Healthcare, LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.