Provider Demographics
NPI:1386277481
Name:PINNACLE COUNSELING SERVICES
Entity type:Organization
Organization Name:PINNACLE COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NAKISIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENEVERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LADC
Authorized Official - Phone:405-812-0642
Mailing Address - Street 1:5505 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-5508
Mailing Address - Country:US
Mailing Address - Phone:405-812-0642
Mailing Address - Fax:405-609-6575
Practice Address - Street 1:5505 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-5508
Practice Address - Country:US
Practice Address - Phone:405-812-0642
Practice Address - Fax:405-609-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200997060AMedicaid