TANNER LEE BOLES M.A.
NPI 1104247279
Counselor - Mental Health in Moore, OK
About Tanner Lee Boles M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANNER LEE BOLES M.A. (NPI 1104247279) is an individual mental health provider in Moore, Oklahoma, licensed in Oklahoma (LPC06783) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanner Lee Boles M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tanner Boles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edmond, OK 73003
- Reassigned Medicare billing, Oklahoma enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
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 Tanner Boles's NPI number?
The NPI number for Tanner Boles is 1104247279. It was assigned to this individual provider in the NPPES registry on December 17, 2013.
Where is Tanner Boles located?
Tanner Boles practices at 620 NW 5th St, Moore, OK 73160. The listed phone number is (405) 208-4469.
What is Tanner Boles's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tanner Boles enrolled in Medicare?
Yes. Tanner Boles is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tanner Boles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Boles reassigns Medicare benefits to Inward Bound Health Solutions LLC (Edmond, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanner Boles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tanner Boles accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tanner Boles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tanner Boles was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tanner Lee Boles, M.A. · NPI 1104247279
Mental Health provider in Moore, Oklahoma. Individual provider, active in the CMS NPPES registry since December 17, 2013.
## Identity
- **NPI:** 1104247279 (Entity type: Individual)
- **Enumerated:** December 17, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC06783 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 620 NW 5TH ST, Moore, OK 73160-3948
- **Phone:** (405) 208-4469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inward Bound Health Solutions LLC (NPI 1427323872, Edmond, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104247279) · Data from the CMS NPPES public registry.