CANADIAN COUNTY COLLABORATIVE LLC
NPI 1780201798
Community/Behavioral Health in Yukon, OK

Active since June 26, 2020
1703 PROFESSIONAL CIR STE 201, YUKON, OK 73099(405) 805-6203(405) 896-4151 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canadian County Collaborative Llc NPPES

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

CANADIAN COUNTY COLLABORATIVE LLC (NPI 1780201798) is a healthcare organization registered as a community/behavioral health in Yukon, Oklahoma and active in the NPI registry since June 2020. The organization lists Matt Pierce, Therapist, as its authorized official.

NPPES Registry Identity

NPI1780201798
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCANADIAN COUNTY COLLABORATIVE LLC
Location Address1703 PROFESSIONAL CIR STE 201Yukon, OK 73099-6498
Mailing Address10616 Sw 35th StYukon, OK 73099-0445 · (405) 805-6203
Fax(405) 896-4151
Organization SubpartNo
Authorized OfficialMatt PierceTherapist · (405) 805-6203
Enumeration DateJune 26, 2020
NPPES CertifiedJune 26, 2020
NPI 1780201798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1703 PROFESSIONAL CIR STE 201, Yukon, OK 73099

Other Identifiers 1

Medicaid200434450AOK

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 Canadian County Collaborative LLC's NPI number?

The NPI number for Canadian County Collaborative LLC is 1780201798. It was assigned to this organization in the NPPES registry on June 26, 2020.

Where is Canadian County Collaborative LLC located?

Canadian County Collaborative LLC is located at 1703 Professional Cir Ste 201, Yukon, OK 73099. The listed phone number is (405) 805-6203.

What is Canadian County Collaborative LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Canadian County Collaborative LLC was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.