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GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI 1407228752
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tahlequah, OK

Active since October 27, 2015
1323 W KEETOOWAH ST, TAHLEQUAH, OK 74464(918) 708-3006(918) 777-9016 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Lake Mental Health Center, Inc. NPPES

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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI 1407228752) is a healthcare organization registered as a mental health (including community mental health center) in Tahlequah, Oklahoma and active in the NPI registry since October 2015. The organization lists Charles Danley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407228752
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address1323 W KEETOOWAH STTahlequah, OK 74464-3462
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 708-3006
Fax(918) 777-9016
Organization SubpartNo
Authorized OfficialCharles DanleyCeo · (918) 273-1841
Enumeration DateOctober 27, 2015
Last NPPES UpdateJanuary 16, 2018
✔ NPI 1407228752 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
1323 W KEETOOWAH ST, Tahlequah, OK 74464
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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 ›

Other Providers at the Same Location NPPES 10

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

JENNIE SHAE WASHINGTON
Peer Specialist
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 506-6901
RACHEL FREIHOFF-LEWIN LPN
Case Manager/Care Coordinator
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 931-3890
DUSTY ROLLICE PRSS
Peer Specialist
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 316-0573
LOFTIN FAMILY PRACTICE
Clinic/Center
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-3425
RACHEL ELIZABETH CLINTON
Case Manager/Care Coordinator
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-3006
STEPHANIE JOLENE WHIPPLE
Case Manager/Care Coordinator
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-3006
HOLLY CADDELL
Counselor (Mental Health)
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-3006
NORTHEASTERN HEALTH SYSTEM
Counselor (Addiction (Substance Use Disorder))
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 506-6901

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 1407228752. It was assigned to this organization in the NPPES registry on October 27, 2015.

Where is Grand Lake Mental Health Center, Inc. located?

Grand Lake Mental Health Center, Inc. is located at 1323 W Keetoowah St, Tahlequah, OK 74464. The listed phone number is (918) 708-3006.

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 January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.