TRACY DIAN FOUNTAIN BHRS
NPI 1194095273
Counselor in Welling, OK

Q: What is Tracy Fountain's NPI number?

The NPI number for Tracy Fountain is 1194095273. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Q: What is Tracy Fountain's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Fountain was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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: August 09, 2026.

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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

Phone(918) 457-4999

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.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.

TANESHA LACIE CARTER

Case Manager/Care Coordinator