Pine Ridge Mental Healthcare, LLC
NPI 1346828050 · Psychiatry Physician · Owasso, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Ridge Mental Healthcare, LLC is a Psychiatry Physician organization in Owasso, OK (NPI 1346828050).
Provider details
- NPI number
- 1346828050
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Mason, Owner(618) 781-8686
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Licensed Practical Nurse164W00000X
Nursing Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Nurse's Aide376K00000X
Nursing Service Related Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 329 S Elm St Ste 240Jenks, OK 74037-3765Phone: (918) 858-4353Fax: (866) 246-2942
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Pine Ridge Mental Healthcare, LLC's NPI number?
- Pine Ridge Mental Healthcare, LLC's National Provider Identifier (NPI) is 1346828050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Ridge Mental Healthcare, LLC?
- Pine Ridge Mental Healthcare, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Pine Ridge Mental Healthcare, LLC located?
- Pine Ridge Mental Healthcare, LLC's practice location on file with NPPES is 8418 N 123rd East Ave, Owasso, OK 74055-2139.
- What is Pine Ridge Mental Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Ridge Mental Healthcare, LLC is (918) 858-4353.
- Does Pine Ridge Mental Healthcare, LLC accept Medicare?
- Pine Ridge Mental Healthcare, 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 Pine Ridge Mental Healthcare, LLC?
- The authorized official listed on Pine Ridge Mental Healthcare, LLC's NPPES record is Nicole Mason, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Ridge Mental Healthcare, LLC's NPI active?
- Yes — Pine Ridge Mental Healthcare, LLC's NPI (1346828050) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.