Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Ridge Mental Healthcare, LLC

Organization Mental Health Counselor · NPI 1346828050

Pine Ridge Mental Healthcare, LLC is a Mental Health Counselor in Owasso, Oklahoma. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8418 N 123rd East Ave
Owasso, OK 74055-2139
Phone: (918) 858-4353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 329 S Elm St Ste 240, Jenks, OK 74037-3765 — (918) 858-4353

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X
Licensed Practical Nurse Taxonomy 164W00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1346828050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Mason — Owner · (618) 781-8686
NPI enumeratedApril 1, 2021
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address8418 N 123rd East Ave, Owasso, OK 74055-2139

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