TRACY DIAN FOUNTAIN BHRS
NPI 1194095273
Counselor in Welling, OK

Active since January 06, 2012PECOS EnrolledAccepts Medicare Assignment
27753 S WELLING RD, WELLING, OK 74471(918) 457-4999(918) 457-4104 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracy Dian Fountain Bhrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY DIAN FOUNTAIN BHRS (NPI 1194095273) is an individual counselor in Welling, Oklahoma and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194095273
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACY DIAN FOUNTAINCredential: BHRS
Location Address27753 S WELLING RDWelling, OK 74471-2202
Mailing Address27753 S Welling RdWelling, OK 74471-2202 · (918) 457-4999 · Fax (918) 457-4104
Fax(918) 457-4104
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 6, 2012
NPI 1194095273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

27753 S WELLING RD, Welling, OK 74471

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 and accepts Medicare assignment

Tracy Dian Fountain Bhrs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678923935
PECOS Enrollment IDI20231228002205
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pharmacy (Long Term Care Pharmacy)
27753 S WELLING RD
WELLING, OK 74471
Clinic/Center (Mental Health (Including Community Mental Health Center))
27753 S WELLING RD
WELLING, OK 74471
Registered Nurse (Psychiatric/Mental Health, Adult)
27753 S WELLING RD
WELLING, OK 74471
Counselor (Professional)
27753 S WELLING RD
WELLING, OK 74471
Assisted Living Facility
27753 S WELLING RD
WELLING, OK 74471
Assisted Living Facility
27753 S WELLING RD
WELLING, OK 74471
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194095273, enumerated as an "individual" on January 06, 2012.

The provider is located at 27753 S WELLING RD WELLING, OK 74471 and the phone number is (918) 457-4999.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and Medica. Please consult your insurance carrier or call the provider to verify.