1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Foster Care Agency
  6. NPI Profile

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
NPI 1710275201
Foster Care Agency in Tulsa, OK

Active since July 18, 2011
1013 E 66TH PL, TULSA, OK 74136(918) 293-2500(918) 492-2075 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadow Mountain Behavioral Health System NPPES

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

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM (NPI 1710275201) is a healthcare organization registered as a foster care agency in Tulsa, Oklahoma and active in the NPI registry since July 2011. The organization lists Mike Kistler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710275201
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameSHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
Location Address1013 E 66TH PLTulsa, OK 74136-3701
Mailing Address1013 E 66th PlTulsa, OK 74136-3701 · (918) 293-2500 · Fax (918) 492-2075
Phone(918) 293-2500
Fax(918) 492-2075
Organization SubpartNo
Authorized OfficialMike KistlerCeo · (918) 492-8200
Enumeration DateJuly 18, 2011
✔ NPI 1710275201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
License✔ Licensed in OK · 4073
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
1013 E 66TH PL, Tulsa, OK 74136
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

MRS. CRYSTAL LEE DOWNS MASTERS VOC REHAB
Counselor
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (918) 293-2500
MRS. MELISHA KANISH FULTZ MS. LPC.
Counselor (Mental Health)
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (918) 293-2500
TERESA BROWN
Social Worker (Clinical)
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (918) 293-2541
ANN R HURST
Social Worker (Clinical)
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (918) 293-2500
AMBER NEWTON
Counselor (Mental Health)
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (501) 605-7775
MELISSA HINES
Case Manager/Care Coordinator
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (918) 948-4358
MRS. CHRISTINA MARIE PIZINGER PA-C
Physician Assistant
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (918) 293-2500
STEPHANIE WYRICK
Peer Specialist
1013 E 66TH PL
TULSA, OK 74136
Tulsa County (539) 325-6568

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 Shadow Mountain Behavioral Health System's NPI number?

The NPI number for Shadow Mountain Behavioral Health System is 1710275201. It was assigned to this organization in the NPPES registry on July 18, 2011.

Where is Shadow Mountain Behavioral Health System located?

Shadow Mountain Behavioral Health System is located at 1013 E 66th Pl, Tulsa, OK 74136. The listed phone number is (918) 293-2500.

What is Shadow Mountain Behavioral Health System's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain Behavioral Health System was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.