TAMMY LEA OTERO LADC/MH
NPI 1376199596
Counselor - Mental Health in Tonkawa, OK
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
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tammy Lea Otero Ladc/mh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tammy Otero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 22 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.
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.
Which organization bills Medicare for Tammy Otero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Otero reassigns Medicare benefits to White Eagle Health Center (Ponca City, OK). 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 Tammy Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Tammy Lea Otero, LADC/MH · NPI 1376199596
Mental Health provider in Tonkawa, Oklahoma. Individual provider, active in the CMS NPPES registry since August 13, 2019.
## Identity
- **NPI:** 1376199596 (Entity type: Individual)
- **Enumerated:** August 13, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 1442 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12501 W FOUNTAIN RD, Tonkawa, OK 74653-4427
- **Phone:** (505) 263-1731
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** White Eagle Health Center (NPI 1265271910, Ponca City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1376199596) · Data from the CMS NPPES public registry.