PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
NPI 1407627029
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stigler, OK

Active since January 11, 2024CLIA 37D2298043 · Waiver
109 E MAIN ST UNIT D, STIGLER, OK 74462(918) 438-5477 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Psychiatric And Addiction Centered Medicine Llc NPPES

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

PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC (NPI 1407627029) is a healthcare organization registered as a mental health (including community mental health center) in Stigler, Oklahoma and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Kimberly Smith, Credentialing Contact, as its authorized official.

NPPES Registry Identity

NPI1407627029
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
Location Address109 E MAIN ST UNIT DStigler, OK 74462-2704
Mailing Address109 E Main St Unit DStigler, OK 74462-2704 · (918) 438-5477
Organization SubpartNo
Authorized OfficialKimberly SmithCredentialing Contact · (405) 812-6562
Enumeration DateJanuary 11, 2024
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1407627029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/CenterTaxonomy 261Q00000X
109 E MAIN ST UNIT D, Stigler, OK 74462

Accepted 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)

Psychiatric And Addiction Centered Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Psychiatric And Addiction Centered Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1952241804
109 EAST MAIN ST MAIN SUITE D
Stigler, OK 74462
(918) 438-5477
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1942710710
301 W 4TH ST
Ada, OK 74820
(580) 436-2690
✔ PECOS✔ Accepts Medicare94 mi
Mental Health Counselor
NPI 1316512114
6624 SANDLEWOOD DR
Oklahoma City, OK 73132
(405) 534-8223
✔ PECOS✔ Accepts Medicare144 mi
Psychiatry
NPI 1538690995
4006 WASHINGTON RD
Kenosha, WI 53144
(262) 656-0044
✔ PECOS✔ Accepts Medicare640 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 37D2298043

Psychiatric And Addiction Centered Medicine LLC · Stigler, OK
Active · expires Jan 25, 2028
CLIA Number37D2298043
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorChasity Butler
Laboratory Phone(870) 834-6140
Laboratory LocationPsychiatric And Addiction Centered Medicine LLC901 E Main St Ste D, Stigler, OK 74462
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Psychiatric And Addiction Centered Medicine LLC's NPI number?

The NPI number for Psychiatric And Addiction Centered Medicine LLC is 1407627029. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Psychiatric And Addiction Centered Medicine LLC located?

Psychiatric And Addiction Centered Medicine LLC is located at 109 E Main St Unit D, Stigler, OK 74462. The listed phone number is (918) 438-5477.

What is Psychiatric And Addiction Centered Medicine LLC'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.

Is Psychiatric And Addiction Centered Medicine LLC enrolled in Medicare?

Yes. Psychiatric And Addiction Centered Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychiatric And Addiction Centered Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Psychiatric And Addiction Centered Medicine LLC, in Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Psychiatric And Addiction Centered Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2298043) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Psychiatric And Addiction Centered Medicine LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Psychiatric And Addiction Centered Medicine 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 Psychiatric And Addiction Centered Medicine LLC was last updated on March 12, 2024. 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.