WYNONA IRENE TUCKER LMFT CANDIDATE
NPI 1194426056
Marriage & Family Therapist in Chandler, OK

Q: What is Wynona Tucker's NPI number?

The NPI number for Wynona Tucker is 1194426056. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Q: What is Wynona Tucker's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Wynona Tucker was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 March 16, 2023PECOS EnrolledAccepts Medicare Assignment

112 MCKINLEY AVE, CHANDLER, OK 74834(405) 424-7711 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Mar 16, 2023 (2 updates tracked since 2023).

On this page

About Wynona Irene Tucker Lmft Candidate NPPES

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

WYNONA IRENE TUCKER LMFT CANDIDATE (NPI 1194426056) is an individual marriage & family therapist in Chandler, Oklahoma, licensed in Oklahoma (11337) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194426056

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameWYNONA IRENE TUCKERCredential: LMFT CANDIDATE

Location Address112 MCKINLEY AVEChandler, OK 74834-1622

Mailing Address1202 E 10th StShawnee, OK 74801-7308 · (405) 915-2777

Phone(405) 424-7711

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 16, 2023

Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1194426056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in OK · 11337

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

112 MCKINLEY AVE, Chandler, OK 74834

Open in Google Maps ↗

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

Wynona Irene Tucker Lmft Candidate 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 ID8729556733

PECOS Enrollment IDI20260507004114

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.

MR. DONNIE M. WALLER LSW

Counselor (Mental Health)