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.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanner Lee Boles M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
What insurance does Tanner Boles accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health 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 2 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
## 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.