GRAND MENTAL HEALTH
NPI 1356981138
Community/Behavioral Health in Ponca City, OK

Q: What is Grand Lake Mental Health Center Inc's NPI number?

The NPI number for Grand Lake Mental Health Center Inc is 1356981138. It was assigned to this organization in the NPPES registry on January 9, 2020. The provider is doing business as Grand Mental Health.

Q: What is Grand Lake Mental Health Center Inc's specialty?

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

Active since January 09, 2020

407 W SOUTH AVE, PONCA CITY, OK 74601(580) 749-5056(580) 215-5756 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2022, Nov 30, 2021, Jul 31, 2020 and 1 more (4 updates tracked since 2020).

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About Grand Mental Health NPPES

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

GRAND MENTAL HEALTH (NPI 1356981138) is a healthcare organization registered as a community/behavioral health in Ponca City, Oklahoma and active in the NPI registry since January 2020. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356981138

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGRAND LAKE MENTAL HEALTH CENTER INC

Location Address407 W SOUTH AVEPonca City, OK 74601-6133

Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841

Phone(580) 749-5056

Fax(580) 215-5756

Organization SubpartNo

Authorized OfficialLarry SmithCeo · (918) 273-1841

Enumeration DateJanuary 9, 2020

Last NPPES UpdateJune 7, 20224 updates tracked since enumeration

NPPES CertifiedJune 7, 2022

✔ NPI 1356981138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

407 W SOUTH AVE, Ponca City, OK 74601

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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 ›

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 Mental Health 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 Mental Health, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 24 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

Mona Brenneman, BS IN PSYCHOLOGY

Mental Health Counselor

NPI 1669506416