NORTHEASTERN HEALTH SYSTEM
NPI 1689338519
Counselor - Addiction (Substance Use Disorder) in Tahlequah, OK

NPI Status: Active since October 27, 2021

Contact Information

1323 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 506-6901

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  • Organization
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance

About NORTHEASTERN HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Northeastern Health System, a provider established in Tahlequah, Oklahoma operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1689338519 assigned on October 2021. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Northeastern Health System operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jackie Hullinger (Vp Of Revenue Cycle)

NPI
1689338519
Provider Name
NORTHEASTERN HEALTH SYSTEM
Entity Type
Organization
Location Address
1323 W KEETOOWAH ST TAHLEQUAH, OK 74464
Location Phone
(918) 506-6901
Mailing Address
PO BOX 1008 TAHLEQUAH, OK 74465
Mailing Phone
(918) 458-2111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2021
Last Update Date
11-07-2024
Code Navigator

A Substance Abuse or Addiction Counselor like Northeastern Health System advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Secondary Locations

  • 215 NE 1st St Ste B
    Wagoner, OK 74467
    (918) 931-3890

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACKIE HULLINGER

Authorized Official Title
VP OF REVENUE CYCLE
Authorized Official Phone
(918) 458-2417

Reviews for NORTHEASTERN HEALTH SYSTEM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689338519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169631652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 6 + 3 + 1 + 6 + 5 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1689338519 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295920734LOFTIN FAMILY PRACTICE
Organization
Clinic/Center1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 456-3425
1326558008 STEPHANIE JOLENE WHIPPLE
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1407228752GRAND LAKE MENTAL HEALTH CENTER, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1548759327 HOLLY CADDELL
Individual
Counselor (Mental Health)1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1326516022 RACHEL ELIZABETH CLINTON
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1720560261 MICHELLE RENEE SHADE
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1669125753 ALICIA PEARL SANDERS APRN
Individual
Nurse Practitioner (Family)1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 931-3890
1144956681 JENNIE SHAE WASHINGTON
Individual
Peer Specialist1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 506-6901
1265166193 DUSTY ROLLICE PRSS
Individual
Peer Specialist1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 316-0573
1760023717 SARAH ROSE LOY
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 931-3890
1154139566 RACHEL FREIHOFF-LEWIN LPN
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 931-3890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689338519, enumerated in the NPI registry as an "organization" on October 27, 2021

The provider is located at 1323 W Keetoowah St Tahlequah, Ok 74464 and the phone number is (918) 506-6901

This medical organization specializes in Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 27, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.