MRS. TARA MATLOCK LPC
NPI 1023769130
Counselor - Professional in Oklahoma City, OK
About Mrs. Tara Matlock Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA MATLOCK LPC (NPI 1023769130) is an individual professional provider in Oklahoma City, Oklahoma, licensed in Oklahoma (10454) and active in the NPI registry since January 2022. She has opted out of Medicare through March 5, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Tara Matlock Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2026 through March 5, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tara Matlock's NPI number?
The NPI number for Tara Matlock is 1023769130. It was assigned to this individual provider in the NPPES registry on January 11, 2022.
Where is Tara Matlock located?
Tara Matlock practices at 13929 Technology Dr, Oklahoma City, OK 73134. The listed phone number is (405) 496-1511.
What is Tara Matlock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tara Matlock enrolled in Medicare?
No. Tara Matlock has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Tara Matlock was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Tara Matlock, LPC · NPI 1023769130
Professional provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since January 11, 2022.
## Identity
- **NPI:** 1023769130 (Entity type: Individual)
- **Enumerated:** January 11, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10454 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 13929 TECHNOLOGY DR, Oklahoma City, OK 73134-1053
- **Phone:** (405) 496-1511
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1023769130) · Data from the CMS NPPES public registry.