GRAND MENTAL HEALTH
NPI 1609434257
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cleveland, OK

Active since May 30, 2019
907 W CADDO ST, CLEVELAND, OK 74020(918) 305-5511(918) 205-2701 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2022, Jul 31, 2020, Jun 4, 2019 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 1609434257) is a healthcare organization registered as a mental health (including community mental health center) in Cleveland, Oklahoma and active in the NPI registry since May 2019. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609434257
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address907 W CADDO STCleveland, OK 74020-4201
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Fax(918) 205-2701
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateMay 30, 2019
Last NPPES UpdateJune 7, 20224 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1609434257 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
907 W CADDO ST, Cleveland, OK 74020

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, 9 practice at this address and 10 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 1649725128
907 W CADDO ST
Cleveland, OK 74020
(505) 205-8485
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1952015141
907 W CADDO ST
Cleveland, OK 74020
(918) 607-5576
✔ PECOSSame address
Clinical Social Worker
NPI 1205218146
907 W CADDO ST
Cleveland, OK 74020
(918) 308-5511
✔ PECOSSame address
Clinical Social Worker
NPI 1598314965
907 W CADDO ST
Cleveland, OK 74020
(918) 915-1554
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497247142
907 W CADDO ST
Cleveland, OK 74020
(918) 308-5511
✔ PECOSSame address
Clinical Social Worker
NPI 1386018364
907 W CADDO ST
Cleveland, OK 74020
(918) 308-5511
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1376928416
907 W CADDO ST
Cleveland, OK 74020
(918) 308-5511
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1235445404
907 W CADDO ST
Cleveland, OK 74020
(918) 308-5511
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1174093710
907 W CADDO ST
Cleveland, OK 74020
(918) 308-5511
✔ PECOSSame address
Clinical Social Worker
NPI 1245734839
303 N BROADWAY ST
Cleveland, OK 74020
(539) 209-1209
✔ PECOS0.6 mi
Mental Health Counselor
NPI 1457850620
473 ELKS LODGE RD
Pawhuska, OK 74056
(153) 921-2247
✔ PECOS23 mi
Mental Health Counselor
NPI 1093386112
401 E BROADWAY CT STE E
Sand Springs, OK 74063
(918) 245-5565
✔ PECOS24 mi
Mental Health Counselor
NPI 1134559792
401 W MAIN ST
Barnsdall, OK 74002
(918) 418-6155
✔ PECOS25 mi
Clinical Social Worker
NPI 1912318072
401 W. MAIN ST.
Barnsdall, OK 74002
(918) 521-6020
✔ PECOS25 mi
Mental Health Counselor
NPI 1700321908
401 W. MAIN ST.
Barnsdall, OK 74002
(918) 847-3527
✔ PECOS25 mi
Mental Health Counselor
NPI 1366851594
1228 PECAN
Pawhuska, OK 74056
(844) 458-2100
✔ PECOS26 mi
Clinical Social Worker
NPI 1205493541
316 E MAIN ST
Pawhuska, OK 74056
(918) 604-3283
✔ PECOS✔ Accepts Medicare26 mi
Marriage and Family Therapist
NPI 1770837478
1624 CIMARRON PLZ
Stillwater, OK 74075
(405) 372-2202
✔ PECOS34 mi
Psychiatry
NPI 1003928334
4111 S DARLINGTON AVE SUITE 425
Tulsa, OK 74135
(866) 285-4381
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1801691977
6128 E 38TH ST
Tulsa, OK 74135
(844) 458-2100
✔ PECOS✔ Accepts Medicare34 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.

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 1609434257. It was assigned to this organization in the NPPES registry on May 30, 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 907 W Caddo St, Cleveland, OK 74020. The listed phone number is (918) 305-5511.

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, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.