GRAND MENTAL HEALTH
NPI 1871500900
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pryor, OK

Active since August 02, 2006
109 N FAIRLAND ST, PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 7, 2022, Jul 31, 2020, Jan 16, 2018 (3 updates tracked since 2018).

About Grand Mental Health NPPES

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

GRAND MENTAL HEALTH (NPI 1871500900) is a healthcare organization registered as a mental health (including community mental health center) in Pryor, Oklahoma and active in the NPI registry since August 2006. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871500900
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address109 N FAIRLAND STPryor, OK 74361-4203
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 825-1405 · Fax (918) 825-1406
Fax(918) 825-1406
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 7, 20223 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1871500900 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
109 N FAIRLAND ST, Pryor, OK 74361

Other Names 1

Doing Business AsGrand Mental Health

Other Identifiers 1

Medicaid100732860HOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

333

Medicare enrollment records show 333 clinicians reassign Medicare billing to Grand Mental Health, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Mental Health Counselor187
Clinical Social Worker118
Marriage and Family Therapist15
Nurse Practitioner7
Psychiatry5
Clinical Psychologist1

Nearest to this location (20)

See all 333
Clinical Social Worker
NPI 1962800441
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Clinical Social Worker
NPI 1528686151
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1679249916
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Mental Health Counselor
NPI 1396328324
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Mental Health Counselor
NPI 1578946554
109 N FAIRLAND ST.
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1851761068
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1093242539
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902460819
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Mental Health Counselor
NPI 1093288656
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1619604394
109 N FAIRLAND ST
Pryor, OK 74361
(918) 688-8327
✔ PECOSSame address
Clinical Social Worker
NPI 1396273942
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Clinical Social Worker
NPI 1184046211
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1406
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1083336879
109 N FAIRLAND ST
Pryor, OK 74361
(918) 934-6845
✔ PECOSSame address
Mental Health Counselor
NPI 1114435955
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1558886952
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Mental Health Counselor
NPI 1013532076
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1401
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1760965388
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Clinical Social Worker
NPI 1336764398
109 N. FAIRLAND ST.
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Marriage and Family Therapist
NPI 1326602467
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOSSame address
Marriage and Family Therapist
NPI 1528540721
109 N FAIRLAND ST
Pryor, OK 74361
(918) 825-1405
✔ PECOS✔ Accepts MedicareSame address
See all 333 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1871500900. It was assigned to this organization in the NPPES registry on August 2, 2006. 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 109 N Fairland St, Pryor, OK 74361. The listed phone number is (918) 825-1405.

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.

Is Grand Lake Mental Health Center, Inc. enrolled in Medicare?

Yes. Grand Lake Mental Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Lake Mental Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 333 clinicians in 6 Medicare specialties reassign their Medicare billing to Grand Lake Mental Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (187), Clinical Social Worker (118) and Marriage and Family Therapist (15). Of these, 14 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grand Lake Mental Health Center, Inc. accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Grand Lake Mental Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center, Inc. was last updated on June 7, 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.