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GRAND MENTAL HEALTH
NPI 1457993834
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pawhuska, OK

Active since October 17, 2019CLIA 37D2173490 · Waiver
1228 PECAN, PAWHUSKA, OK 74056(918) 604-6054(918) 777-9018 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2022, Jul 31, 2020, Jan 2, 2020 and 1 more (4 updates tracked since 2019).

About Grand Mental Health NPPES

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

GRAND MENTAL HEALTH (NPI 1457993834) is a healthcare organization registered as a mental health (including community mental health center) in Pawhuska, Oklahoma and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457993834
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER INC
Location Address1228 PECANPawhuska, OK 74056-5928
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 604-6054
Fax(918) 777-9018
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateOctober 17, 2019
Last NPPES UpdateOctober 31, 20224 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1457993834 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
1228 PECAN, Pawhuska, OK 74056
Open in Google Maps ↗

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 ›

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 37D2173490

Grand Mental Health · Pawhuska, OK
Active · expires Oct 14, 2027
CLIA Number37D2173490
Laboratory TypeCcbhc
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorW John Mallgren
Laboratory Phone(918) 418-0994
Laboratory LocationGrand Mental Health1228 Pecan Ave, Pawhuska, OK 74056
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

SHELBY PARSONS
Case Manager/Care Coordinator
1228 PECAN
PAWHUSKA, OK 74056
Osage County (844) 458-2100
TONI RIPPETOE
Health and Wellness Coach
1228 PECAN
PAWHUSKA, OK 74056
Osage County (844) 458-2100
REBECCA JANE DILLMAN
Case Manager/Care Coordinator
1228 PECAN
PAWHUSKA, OK 74056
Osage County (918) 682-8407
ASHLEY SLEAD LPC-CANDIDATE
Counselor (Professional)
1228 PECAN
PAWHUSKA, OK 74056
Osage County (844) 458-2100
JAKAYA LYNN JEAN BARKER
Case Manager/Care Coordinator
1228 PECAN
PAWHUSKA, OK 74056
Osage County (844) 458-2100
CODIE HOLLOWAY
Case Manager/Care Coordinator
1228 PECAN
PAWHUSKA, OK 74056
Osage County (918) 604-6054
GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1228 PECAN
PAWHUSKA, OK 74056
Osage County (918) 604-6054
MONICA DAWN EUBANKS
Case Manager/Care Coordinator
1228 PECAN
PAWHUSKA, OK 74056
Osage County (918) 604-6054

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 1457993834. It was assigned to this organization in the NPPES registry on October 17, 2019. The provider is doing business as Grand Mental Health.

Where is Grand Lake Mental Health Center Inc located?

Grand Lake Mental Health Center Inc is located at 1228 Pecan, Pawhuska, OK 74056. The listed phone number is (918) 604-6054.

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.

Does Grand Lake Mental Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2173490) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.