COUNSELING CENTER OF SE OKLAHOMA
NPI 1699838565
Clinic/Center - Mental Health (Including Community Mental Health Center) in Broken Bow, OK

Active since December 19, 2006
100 N BROADWAY ST, BROKEN BOW, OK 74728(580) 584-6054 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Counseling Center Of Se Oklahoma NPPES

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

COUNSELING CENTER OF SE OKLAHOMA (NPI 1699838565) is a healthcare organization registered as a mental health (including community mental health center) in Broken Bow, Oklahoma and active in the NPI registry since December 2006. The organization lists Derrel Levy, Exec Dir, as its authorized official.

NPPES Registry Identity

NPI1699838565
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCAMELOT COMMUNITY SERVICES OF OKLAHOMA, LLC
Location Address100 N BROADWAY STBroken Bow, OK 74728-3934
Mailing Address4207 E Highway 290Dripping Springs, TX 78620-4206
Organization SubpartNo
Authorized OfficialDerrel LevyExec Dir · (580) 298-2830
Enumeration DateDecember 19, 2006
Last NPPES UpdateNovember 18, 2009
NPI 1699838565 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
100 N BROADWAY ST, Broken Bow, OK 74728

Other Names 1

Other NameCounseling Center Of Se Oklahoma

Other Identifiers 1

Medicaid100744370DOK

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
100 N BROADWAY ST
BROKEN BOW, OK 74728
Case Management
100 N BROADWAY ST
BROKEN BOW, OK 74728
Clinic/Center (Mental Health (Including Community Mental Health Center))
100 N BROADWAY ST
BROKEN BOW, OK 74728
Case Management
100 N BROADWAY ST
BROKEN BOW, OK 74728
Community/Behavioral Health
100 N BROADWAY ST
BROKEN BOW, OK 74728

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 Camelot Community Services Of Oklahoma, LLC's NPI number?

The NPI number for Camelot Community Services Of Oklahoma, LLC is 1699838565. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is also known as Counseling Center Of SE Oklahoma.

Where is Camelot Community Services Of Oklahoma, LLC located?

Camelot Community Services Of Oklahoma, LLC is located at 100 N Broadway St, Broken Bow, OK 74728. The listed phone number is (580) 584-6054.

What is Camelot Community Services Of Oklahoma, 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.

When was this NPI record last updated?

The NPPES record for Camelot Community Services Of Oklahoma, LLC was last updated on November 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.