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EAGLE RIDGE INSTITUTE
NPI 1821119447
Community/Behavioral Health in Wagoner, OK

Active since April 02, 2007
109 S HARRILL AVE, 1, WAGONER, OK 74467(918) 485-3554 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagle Ridge Institute NPPES

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

EAGLE RIDGE INSTITUTE (NPI 1821119447) is a healthcare organization registered as a community/behavioral health in Wagoner, Oklahoma and active in the NPI registry since April 2007. The organization lists Dan K Wellmeier, Program Director, as its authorized official.

NPPES Registry Identity

NPI1821119447
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEAGLE RIDGE INSTITUTE
Location Address109 S HARRILL AVE, 1Wagoner, OK 74467-5317
Mailing Address109 S Harrill AveWagoner, OK 74467-5317 · (918) 485-3554
Phone(918) 485-3554
Organization SubpartNo
Authorized OfficialDan K WellmeierProgram Director · (918) 458-3554
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821119447 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.
109 S HARRILL AVE, Wagoner, OK 74467
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Other Providers at the Same Location NPPES 20

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

DAYNA APPLEGATE
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
MADISON M MEDLOCK
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
GARRETTE LEE MCCLURE M.S.
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
LORI KIM CHILDS LMSW-P
Social Worker (Clinical)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
TAREK SLEEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CRUZ RONDON
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CREOKS MENTAL HEALTH SERVICES
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 382-7300
CLARESSA ARMER
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242

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 Eagle Ridge Institute's NPI number?

The NPI number for Eagle Ridge Institute is 1821119447. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Eagle Ridge Institute located?

Eagle Ridge Institute is located at 109 S Harrill Ave 1, Wagoner, OK 74467. The listed phone number is (918) 485-3554.

What is Eagle Ridge Institute'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 Eagle Ridge Institute was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.