Northeastern Health System
NPI 1689338519 · Addiction (Substance Use Disorder) Counselor · Tahlequah, OK
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeastern Health System is a Addiction (Substance Use Disorder) Counselor organization in Tahlequah, OK (NPI 1689338519).
Provider details
- NPI number
- 1689338519
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jackie Hullinger, Vp of Revenue Cycle(918) 458-2417
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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)
- 215 Ne 1st St Ste BWagoner, OK 74467-4439Phone: (918) 931-3890
Registry dates
- Enumerated
- 2021-10-27
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Northeastern Health System's NPI number?
- Northeastern Health System's National Provider Identifier (NPI) is 1689338519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Health System?
- Northeastern Health System is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Northeastern Health System located?
- Northeastern Health System's practice location on file with NPPES is 1323 W Keetoowah St, Tahlequah, OK 74464-3462.
- What is Northeastern Health System's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Health System is (918) 506-6901.
- Does Northeastern Health System accept Medicare?
- Northeastern Health System 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 Northeastern Health System?
- The authorized official listed on Northeastern Health System's NPPES record is Jackie Hullinger, Vp of Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Health System's NPI active?
- Yes — Northeastern Health System's NPI (1689338519) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.