Prodigy Foundation

Prodigy Foundation is a healthcare organization registered as Clinical Social Worker in Tahlequah, OK, holding Type 2 (organization) NPI 1386665743 since 2006. The authorized official on file is Susan Roberts, Director.

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NPI	1386665743
Entity type	Organization (Type 2)
Legal business name	Prodigy Foundation
Practice address	1024 S MUSKOGEE AVE, Tahlequah, OK, 74464
Phone	9184568399
Fax	9184568773
Enumeration date	2006-07-21
Last updated in NPPES	2025-09-11

Authorized official

Name	Susan Roberts
Title	Director
Phone	9184568399

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
101YA0400X	Addiction (Substance Use Disorder) Counselor	Secondary	—	—
101YM0800X	Mental Health Counselor	Secondary	—	—
101YP2500X	Professional Counselor	Secondary	—	—
1041C0700X	Clinical Social Worker	Primary	—	—

Copy-ready billing details

Provider: Prodigy Foundation
NPI: 1386665743
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 1024 S MUSKOGEE AVE, Tahlequah, OK, 74464

Providers at this address

NPI	Name	Type	Specialty	Location
1679619985	Teresa Borremans	Individual	Psychiatric/Mental Health Registered Nurse	Tahlequah, OK
1700928603	Prodigy Foundation	Organization	Community/Behavioral Health Agency	Tahlequah, OK

Verify this record

Cross-check NPI 1386665743 against the authoritative CMS record: view Prodigy Foundation on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Prodigy Foundation located?

The practice location on file with NPPES is in Tahlequah, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.