{"npi":"1023381985","type":"NPI-2","status":"active","name":{"display":"Creoks Mental Health Services","other":[],"organization_name":"CREOKS MENTAL HEALTH SERVICES","authorised_official":"Tabitha Talbot"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"OK","license":"CMHC-561"}]},"addresses":[{"purpose":"LOCATION","street_1":"120 E ILLINOIS AVE","city":"VINITA","state":"OK","postal_code":"743013202","country_code":"US","street_2":"SUITE 200/201","phone":"9182569961","fax":"9182569941"},{"purpose":"MAILING","street_1":"323 W 6TH ST","city":"OKMULGEE","state":"OK","postal_code":"744475019","country_code":"US","phone":"9187569411","fax":"9187562126"}],"license":{"state":"OK","number":"CMHC-561"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100734620","state":"OK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-02-22","last_updated":"2019-10-15","_meta":{"source":"NPPES","snapshot_date":"2019-10-15","doc_url":"https://findmynpi.com/api"}}