ZACHARY TEDDER LPC
NPI 1356863070
Counselor - Professional in Earlsboro, OK
About Zachary Tedder Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY TEDDER LPC (NPI 1356863070) is an individual professional provider in Earlsboro, Oklahoma, licensed in Oklahoma (7271) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Shawnee, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zachary Tedder Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Zachary Tedder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Oklahoma enrollment
- 45 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Zachary Tedder's NPI number?
The NPI number for Zachary Tedder is 1356863070. It was assigned to this individual provider in the NPPES registry on July 13, 2017.
Where is Zachary Tedder located?
Zachary Tedder practices at 18800 Valley View Rd, Earlsboro, OK 74840. The listed phone number is (405) 279-9416.
What is Zachary Tedder's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Zachary Tedder enrolled in Medicare?
Yes. Zachary Tedder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Zachary Tedder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Tedder reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Zachary Tedder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Tedder accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Zachary Tedder 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 Zachary Tedder was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Zachary Tedder, LPC · NPI 1356863070
Professional provider in Earlsboro, Oklahoma. Individual provider, active in the CMS NPPES registry since July 13, 2017.
## Identity
- **NPI:** 1356863070 (Entity type: Individual)
- **Enumerated:** July 13, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7271 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18800 VALLEY VIEW RD, Earlsboro, OK 74840-3610
- **Phone:** (405) 279-9416
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356863070) · Data from the CMS NPPES public registry.