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MR. TANNER PAYNE UNDERWOOD LADC/MH
NPI 1326431990
Counselor - Addiction (Substance Use Disorder) in Edmond, OK

Active since March 06, 2015
1015 WATERWOOD PARKWAY, BUILDING G, SUITE H-1, EDMOND, OK 73034(405) 831-4122 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2020, Nov 12, 2019, Nov 6, 2019 (3 updates tracked since 2019).

About Mr. Tanner Payne Underwood Ladc/mh NPPES

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

MR. TANNER PAYNE UNDERWOOD LADC/MH (NPI 1326431990) is an individual addiction (substance use disorder) provider in Edmond, Oklahoma, licensed in Oklahoma (1318) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1326431990
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TANNER PAYNE UNDERWOODCredential: LADC/MH
Location Address1015 WATERWOOD PARKWAY, BUILDING G, SUITE H-1Edmond, OK 73034
Mailing Address4733 Rosewood CtNoble, OK 73068-5522 · (405) 831-4122
Phone(405) 831-4122
Sole ProprietorYes
Enumeration DateMarch 6, 2015
Last NPPES UpdateNovember 5, 20203 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1326431990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OK · 1318
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1318 (OK)
1015 WATERWOOD PARKWAY, Edmond, OK 73034
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL SCHOBERT CPMT, CMT
Massage Therapist
1015 WATERWOOD PARKWAY, SUITE G, RM D-1
EDMOND, OK 73034
Oklahoma County (405) 371-3424

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 Underwood's NPI number?

The NPI number for Tanner Underwood is 1326431990. It was assigned to this individual provider in the NPPES registry on March 6, 2015.

Where is Tanner Underwood located?

Tanner Underwood practices at 1015 Waterwood Parkway Building G, Suite H-1, Edmond, OK 73034. The listed phone number is (405) 831-4122.

What is Tanner Underwood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Tanner Underwood accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company and UnitedHealthcare list Tanner Underwood 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 Underwood was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.