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: October 18, 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
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

Other Names 1

Doing Business AsGrand Mental Health

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)

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, 1 practice at this address and 3 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
Mental Health Counselor
NPI 1366851594
1228 PECAN
Pawhuska, OK 74056
(844) 458-2100
✔ PECOSSame address
Clinical Social Worker
NPI 1205493541
316 E MAIN ST
Pawhuska, OK 74056
(918) 604-3283
✔ PECOS✔ Accepts Medicare0.7 mi
Mental Health Counselor
NPI 1457850620
473 ELKS LODGE RD
Pawhuska, OK 74056
(153) 921-2247
✔ PECOS3.5 mi
Mental Health Counselor
NPI 1134559792
401 W MAIN ST
Barnsdall, OK 74002
(918) 418-6155
✔ PECOS13 mi
Clinical Social Worker
NPI 1912318072
401 W. MAIN ST.
Barnsdall, OK 74002
(918) 521-6020
✔ PECOS13 mi
Mental Health Counselor
NPI 1700321908
401 W. MAIN ST.
Barnsdall, OK 74002
(918) 847-3527
✔ PECOS13 mi
Mental Health Counselor
NPI 1073772752
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Clinical Social Worker
NPI 1023661493
700 SW PENN
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Nurse Practitioner
NPI 1497045454
700 S PENN AVE
Bartlesville, OK 74003
(918) 273-1841
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1417566852
700 S PENN AVE
Bartlesville, OK 74003
(918) 619-7343
✔ PECOS21 mi
Clinical Social Worker
NPI 1609427608
700 S PENN AVE
Bartlesville, OK 74003
(918) 934-7941
✔ PECOS✔ Accepts Medicare21 mi
Marriage and Family Therapist
NPI 1700147816
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Mental Health Counselor
NPI 1477187870
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1083004204
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Clinical Social Worker
NPI 1295004844
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Mental Health Counselor
NPI 1871884536
700 S PENN AVENUE
Bartlesville, OK 74003
(918) 200-7263
✔ PECOS21 mi
Clinical Social Worker
NPI 1679839617
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Clinical Social Worker
NPI 1043618234
700 S PENN AVE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Clinical Social Worker
NPI 1356853725
700 SW PENN AVENUE
Bartlesville, OK 74003
(918) 337-8080
✔ PECOS21 mi
Marriage and Family Therapist
NPI 1659823862
225 SE MORNINGSIDE AVE
Bartlesville, OK 74006
(918) 221-7207
✔ PECOS✔ Accepts Medicare24 mi
See all 333 clinicians

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 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.

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.

Is Grand Lake Mental Health Center Inc enrolled in Medicare?

Yes. Grand Lake Mental Health Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Lake Mental Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 333 clinicians in 6 Medicare specialties reassign their Medicare billing to Grand Lake Mental Health Center Inc. 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. The largest specialties are Mental Health Counselor (187), Clinical Social Worker (118) and Marriage and Family Therapist (15). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.