Provider Demographics
NPI:1841451309
Name:OSAGE NATION OSAGE NATION COUNSELING CENTER
Entity type:Organization
Organization Name:OSAGE NATION OSAGE NATION COUNSELING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MAL, CHC, FACHE
Authorized Official - Phone:918-287-9313
Mailing Address - Street 1:473 ELKS LODGE RD
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-6542
Mailing Address - Country:US
Mailing Address - Phone:539-212-2499
Mailing Address - Fax:
Practice Address - Street 1:473 ELKS LODGE RD
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-6542
Practice Address - Country:US
Practice Address - Phone:539-212-2499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSAGE NATION SI-SI A-PE-TXA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-18
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty