INTEGRATED RENEGADE, LLC
NPI 1366223265
Community/Behavioral Health in Glenpool, OK

Q: What is Integrated Renegade, LLC's NPI number?

The NPI number for Integrated Renegade, LLC is 1366223265. It was assigned to this organization in the NPPES registry on October 9, 2023.

Q: What is Integrated Renegade, LLC's specialty?

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

Active since October 09, 2023

1264 E 139TH PL, GLENPOOL, OK 74033(918) 321-0697 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Integrated Renegade, Llc NPPES

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

INTEGRATED RENEGADE, LLC (NPI 1366223265) is a healthcare organization registered as a community/behavioral health in Glenpool, Oklahoma and active in the NPI registry since October 2023. The organization lists Petra Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1366223265

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameINTEGRATED RENEGADE, LLC

Location Address1264 E 139TH PLGlenpool, OK 74033-3125

Mailing Address1264 E 139th PlGlenpool, OK 74033-3125

Phone(918) 321-0697

Organization SubpartNo

Authorized OfficialPetra RussellOwner · (918) 321-0697

Enumeration DateOctober 9, 2023

NPPES CertifiedOctober 8, 2023

✔ NPI 1366223265 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.

1264 E 139TH PL, Glenpool, OK 74033

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Accepted Insurance

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

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 Integrated Renegade, LLC's NPI number?

The NPI number for Integrated Renegade, LLC is 1366223265. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Integrated Renegade, LLC located?

Integrated Renegade, LLC is located at 1264 E 139th Pl, Glenpool, OK 74033. The listed phone number is (918) 321-0697.

What is Integrated Renegade, LLC's specialty?

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

What insurance does Integrated Renegade, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Integrated Renegade, 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 Integrated Renegade, LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.