TAMMY LEA OTERO LADC/MH
NPI 1376199596
Counselor - Mental Health in Tonkawa, OK

Active since August 13, 2019PECOS Enrolled
12501 W FOUNTAIN RD, TONKAWA, OK 74653(505) 263-1731 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 29, 2022, Sep 7, 2022, Aug 15, 2022 and 1 more (4 updates tracked since 2019).

About Tammy Lea Otero Ladc/mh NPPES

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

TAMMY LEA OTERO LADC/MH (NPI 1376199596) is an individual mental health provider in Tonkawa, Oklahoma, licensed in Oklahoma (1442) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ponca City.

NPPES Registry Identity

NPI1376199596
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMMY LEA OTEROCredential: LADC/MH
Location Address12501 W FOUNTAIN RDTonkawa, OK 74653-4427
Mailing Address12501 W Fountain RdTonkawa, OK 74653-4427 · (505) 263-1731
Sole ProprietorYes
Enumeration DateAugust 13, 2019
Last NPPES UpdateJune 30, 20234 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
NPI 1376199596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OK · 1442
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12501 W FOUNTAIN RD, Tonkawa, OK 74653

Secondary Practice Location 1

Location 1827 E Hubbard RdPonca City, OK 74601-1156 · Phone (505) 263-1731

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tammy Lea Otero Ladc/mh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Tammy Otero's NPI number?

The NPI number for Tammy Otero is 1376199596. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Tammy Otero located?

Tammy Otero practices at 12501 W Fountain Rd, Tonkawa, OK 74653. The listed phone number is (505) 263-1731.

What is Tammy Otero's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tammy Otero enrolled in Medicare?

Yes. Tammy Otero is registered in the Medicare PECOS enrollment system.

What insurance does Tammy Otero accept?

Health plans from Medica list Tammy Otero 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 Tammy Otero was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.