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GRAND MENTAL HEALTH
NPI 1831770676
Clinic/Center - Mental Health (Including Community Mental Health Center) in Blackwell, OK

Active since April 14, 2021
1313 W FERGUSON AVE, BLACKWELL, OK 74631(580) 789-3100(580) 956-8218 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2021, Apr 14, 2021 (2 updates tracked since 2021).

About Grand Mental Health NPPES

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

GRAND MENTAL HEALTH (NPI 1831770676) is a healthcare organization registered as a mental health (including community mental health center) in Blackwell, Oklahoma and active in the NPI registry since April 2021. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831770676
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address1313 W FERGUSON AVEBlackwell, OK 74631-5604
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(580) 789-3100
Fax(580) 956-8218
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateApril 14, 2021
Last NPPES UpdateJune 13, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
✔ NPI 1831770676 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
1313 W FERGUSON AVE, Blackwell, OK 74631
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Other Names 1

Doing Business AsGrand Mental Health

Other Providers at the Same Location NPPES 10

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

HAYLEE MAGIN
Peer Specialist
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (918) 273-1841
BILLIE JO CLAFLIN
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
LACEE PIERSON
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (844) 458-2100
KAYLEE MARIE TURNER
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
DOMINIQUE KINGFISHER
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (844) 458-2100
KAYCEE R. WIELAND RN
Registered Nurse
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
JESSICA MARIE ORTIZ
Counselor
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100

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 1831770676. It was assigned to this organization in the NPPES registry on April 14, 2021. 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 1313 W Ferguson Ave, Blackwell, OK 74631. The listed phone number is (580) 789-3100.

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.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center, Inc. was last updated on June 13, 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.