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GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI 1851931794
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ponca City, OK

Active since January 08, 2020
110 N 4TH ST, PONCA CITY, OK 74601(580) 749-5056(580) 215-5765 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Lake Mental Health Center, Inc. NPPES

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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI 1851931794), doing business as Grand Lake Mental Health Center, is a healthcare organization registered as a mental health (including community mental health center) in Ponca City, Oklahoma and active in the NPI registry since January 2020. The organization lists Charles Danley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851931794
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address110 N 4TH STPonca City, OK 74601-4527
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(580) 749-5056
Fax(580) 215-5765
Organization SubpartNo
Authorized OfficialCharles DanleyCeo · (918) 273-1841
Enumeration DateJanuary 8, 2020
✔ NPI 1851931794 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
110 N 4TH ST, Ponca City, OK 74601
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Other Names 1

Doing Business AsGrand Lake Mental Health Center

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.

LAUREN KIRK LPC
Counselor (Mental Health)
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 749-5056
MRS. TERESA ANN JONES
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 762-3217
JOHN WENSLER RSS
Peer Specialist
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 749-5056
CARRIE ELIZABETH INGRAM
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 749-5056
DANIEL JAMES SHAFFER
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 749-5056
SHALEEN FAY COLTON
Peer Specialist
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 749-5056
TAMMY DIAN BURKE
Registered Nurse
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (580) 749-5056
KILEY ELIZABETH SIMON
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Kay County (405) 372-2202

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 1851931794. It was assigned to this organization in the NPPES registry on January 8, 2020. The provider is doing business as Grand Lake Mental Health Center.

Where is Grand Lake Mental Health Center, Inc. located?

Grand Lake Mental Health Center, Inc. is located at 110 N 4th St, Ponca City, OK 74601. The listed phone number is (580) 749-5056.

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 January 8, 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.