MS. TAMMY JO COLETTA
NPI 1376766972
Counselor - Professional in Owasso, OK

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
8422 N 123RD EAST AVE, OWASSO, OK 74055(918) 858-4353 Get Directions Write a Review

NPPES record last updated: January 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2024, Jul 23, 2020, Jan 27, 2020 and 1 more (4 updates tracked since 2017).

About Ms. Tammy Jo Coletta NPPES

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

MS. TAMMY JO COLETTA (NPI 1376766972) is an individual professional provider in Owasso, Oklahoma, licensed in Colorado (LPC.0005606) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1376766972
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TAMMY JO COLETTA
Location Address8422 N 123RD EAST AVEOwasso, OK 74055-2130
Mailing Address8422 N 123rd East AveOwasso, OK 74055-2130 · (918) 858-4353
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 11, 2007
Last NPPES UpdateJanuary 7, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2024
✔ NPI 1376766972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0005606
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0000498 (CO)
8422 N 123RD EAST AVE, Owasso, OK 74055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Tammy Jo Coletta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507201068
PECOS Enrollment IDI20240223003987
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.

Medicare Billing Reassignment

Medicare enrollment records show Tammy Coletta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
8418 N 123RD EAST AVE
Owasso, OK 74055
  • Reassigned Medicare billing, Oklahoma enrollment
  • 3 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 4

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

Obstetrics & Gynecology (Obstetrics)
8422 N 123RD EAST AVE
OWASSO, OK 74055
Physician Assistant (Medical)
8422 N 123RD EAST AVE
OWASSO, OK 74055
Physician Assistant
8422 N 123RD EAST AVE
OWASSO, OK 74055
Counselor (Mental Health)
8422 N 123RD EAST AVE
OWASSO, OK 74055

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 Coletta's NPI number?

The NPI number for Tammy Coletta is 1376766972. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Tammy Coletta located?

Tammy Coletta practices at 8422 N 123rd East Ave, Owasso, OK 74055. The listed phone number is (918) 858-4353.

What is Tammy Coletta's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tammy Coletta enrolled in Medicare?

Yes. Tammy Coletta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tammy Coletta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Coletta reassigns Medicare benefits to Pine Ridge Mental Healthcare, LLC (Owasso, 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 Coletta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Coletta accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tammy Coletta 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 Coletta was last updated on January 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.