PINE RIDGE MENTAL HEALTHCARE, LLC
NPI 1346828050
Psychiatry & Neurology - Psychiatry in Owasso, OK
About Pine Ridge Mental Healthcare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE RIDGE MENTAL HEALTHCARE, LLC (NPI 1346828050) is a healthcare organization registered as a psychiatry in Owasso, Oklahoma and active in the NPI registry since April 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Nicole Mason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Ridge Mental Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pine Ridge Mental Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2274214
Pine Ridge Mental Healthcare, LLC · Owasso, OKCertificate of Waiver 37D2343427
Pine Ridge Mental Healthcare - Jenks · Jenks, OKFrequently 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 Pine Ridge Mental Healthcare, LLC's NPI number?
The NPI number for Pine Ridge Mental Healthcare, LLC is 1346828050. It was assigned to this organization in the NPPES registry on April 1, 2021.
Where is Pine Ridge Mental Healthcare, LLC located?
Pine Ridge Mental Healthcare, LLC is located at 8418 N 123rd East Ave, Owasso, OK 74055. The listed phone number is (918) 858-4353.
What is Pine Ridge Mental Healthcare, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Pine Ridge Mental Healthcare, LLC enrolled in Medicare?
Yes. Pine Ridge Mental Healthcare, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Ridge Mental Healthcare, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pine Ridge Mental Healthcare, LLC, in Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pine Ridge Mental Healthcare, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pine Ridge Mental Healthcare, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Pine Ridge Mental Healthcare, LLC 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 Pine Ridge Mental Healthcare, LLC was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Pine Ridge Mental Healthcare, Llc · NPI 1346828050
Psychiatry organization in Owasso, Oklahoma. Organization record, active in the CMS NPPES registry since April 1, 2021.
## Identity
- **NPI:** 1346828050 (Entity type: Organization)
- **Enumerated:** April 1, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Nicole Mason, OWNER
## Practice location
- **Address:** 8418 N 123RD EAST AVE, Owasso, OK 74055-2139
- **Phone:** (918) 858-4353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Mental Health Counselor (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346828050) · Data from the CMS NPPES public registry.