OrganizationActive
Community Impact Youth & Family Services
NPI 1124311485 · Community/Behavioral Health Agency · Oklahoma City, OK
Provider details
- NPI number
- 1124311485
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Larrenda Patterson, Therapist(405) 863-5724
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4209 Nw 23rd St.
Suite 100
Oklahoma City, OK 73107
Phone: (405) 863-5724
Street-level locationGet directions
Mailing address
Po Box 95751
Oklahoma City, OK 73143-5751
Registry dates
- Enumerated
- 2011-05-19
- Last updated
- 2011-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.