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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Fountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
6216 S LEWIS AVE, SUITE 180
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 70 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.

Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471
Specialist
27753 S WELLING RD
WELLING, OK 74471
Counselor
27753 S WELLING RD
WELLING, OK 74471
Counselor (Professional)
27753 S WELLING RD
WELLING, OK 74471
Registered Nurse
27753 S WELLING RD
WELLING, OK 74471
Clinic/Center (Mental Health (Including Community Mental Health Center))
27753 S WELLING RD
WELLING, OK 74471
Case Manager/Care Coordinator
27753 S WELLING RD
WELLING, OK 74471

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 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.

Where is Tracy Fountain located?

Tracy Fountain practices at 27753 S Welling Rd, Welling, OK 74471. The listed phone number is (918) 457-4999.

What is Tracy Fountain's specialty?

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

Is Tracy Fountain enrolled in Medicare?

Yes. Tracy Fountain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tracy Fountain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Fountain reassigns Medicare benefits to Improving Lives Counseling Services, Inc. (Tulsa, 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 Tracy Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Fountain accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Tracy Fountain 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 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.