Addiction Wellness Center Ok LLC
NPI 1124719596 · Community/Behavioral Health Agency · Oklahoma City, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Addiction Wellness Center Ok LLC is a Community/Behavioral Health Agency organization in Oklahoma City, OK (NPI 1124719596).
Provider details
- NPI number
- 1124719596
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jessie Costley, Credentialing Specialist(443) 839-6928
Specialties & taxonomies
Agencies
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is Addiction Wellness Center Ok LLC's NPI number?
- Addiction Wellness Center Ok LLC's National Provider Identifier (NPI) is 1124719596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Addiction Wellness Center Ok LLC?
- Addiction Wellness Center Ok LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Addiction Wellness Center Ok LLC located?
- Addiction Wellness Center Ok LLC's practice location on file with NPPES is 1800 E Memorial Rd Ste 101, Oklahoma City, OK 73131-1827.
- What is Addiction Wellness Center Ok LLC's phone number?
- The practice phone number listed in the NPPES registry for Addiction Wellness Center Ok LLC is (405) 446-5714.
- Does Addiction Wellness Center Ok LLC accept Medicare?
- Addiction Wellness Center Ok LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Addiction Wellness Center Ok LLC?
- The authorized official listed on Addiction Wellness Center Ok LLC's NPPES record is Jessie Costley, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Addiction Wellness Center Ok LLC's NPI active?
- Yes — Addiction Wellness Center Ok LLC's NPI (1124719596) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.