MR. PAYDEN PAUL BETHEL CCMA
NPI 1962184960
Peer Specialist in Tahlequah, OK

Active since August 01, 2023
1429 JACK BROWN LANE, TAHLEQUAH, OK 74464(918) 316-3000 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Payden Paul Bethel Ccma NPPES

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

MR. PAYDEN PAUL BETHEL CCMA (NPI 1962184960) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1962184960
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. PAYDEN PAUL BETHELCredential: CCMA
Location Address1429 JACK BROWN LANETahlequah, OK 74464
Mailing Address1454 E Allen Rd Apt D-2Tahlequah, OK 74464-2185 · (661) 623-6750
Sole ProprietorNo
Enumeration DateAugust 1, 2023
NPPES CertifiedJuly 31, 2023
NPI 1962184960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1429 JACK BROWN LANE, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 4

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

Case Manager/Care Coordinator
1429 JACK BROWN LANE
TAHLEQUAH, OK 74464
Counselor (Professional)
1429 JACK BROWN LANE
TAHLEQUAH, OK 74464
Counselor (Addiction (Substance Use Disorder))
1429 JACK BROWN LANE
TAHLEQUAH, OK 74464
Peer Specialist
1429 JACK BROWN LANE
TAHLEQUAH, OK 74464

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 Payden Bethel's NPI number?

The NPI number for Payden Bethel is 1962184960. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Payden Bethel located?

Payden Bethel practices at 1429 Jack Brown Lane, Tahlequah, OK 74464. The listed phone number is (918) 316-3000.

What is Payden Bethel's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Payden Bethel was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.