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MR. TANNER CLARK M.S.
NPI 1427421668
Marriage & Family Therapist in Shawnee, OK

Active since November 10, 2015PECOS EnrolledAccepts Medicare Assignment
326 W 11TH ST, SHAWNEE, OK 74801(580) 262-0250 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Tanner Clark M.s. NPPES

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

MR. TANNER CLARK M.S. (NPI 1427421668) is an individual marriage & family therapist in Shawnee, Oklahoma and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1427421668
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. TANNER CLARKCredential: M.S.
Location Address326 W 11TH STShawnee, OK 74801-6710
Mailing Address1806 N Nail PkwyMoore, OK 73160-4636 · (580) 262-0250
Phone(580) 262-0250
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 10, 2015
✔ NPI 1427421668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
326 W 11TH ST, Shawnee, OK 74801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health, Oscar Insurance Company and more.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

Mr. Tanner Clark M.s. 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 ID8123498565
PECOS Enrollment IDI20231229002274
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 Reassignments

2

Medicare enrollment records show Tanner Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Physicians Clinic Medical Foundation
465 mi
General Practice
1776 W LAKES PKWY STE 400
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1366425274 (515) 471-9300
Abbe Center For Community Mental Health, Inc
539 mi
Mental Health (Including Community Mental Health Center)
615 5TH ST SE
Cedar Rapids, IA 52401
  • Reassigned Medicare billing, Iowa enrollment
  • 43 clinicians in this Medicare group
NPI 1063586071 (319) 398-3562

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
42 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Other Providers at the Same Location NPPES 20

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

JANA ALICYN SATZLER
Case Manager/Care Coordinator
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340
DEBRA JOAN WEBSTER M.ED
Case Manager/Care Coordinator
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 760-4338
AMBER STAR HAMPTON
Social Worker (School)
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340
JULIANNE ENNIS
Case Manager/Care Coordinator
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340
MRS. TAMARA COURTNEY HILL MA
Counselor (Mental Health)
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340
MR. JORDAN PAUL PIERCE
Case Manager/Care Coordinator
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340
SIMON MARSHAL HYDE
Counselor
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340
EMILY LAUREN SMITH
Counselor (Mental Health)
326 W 11TH ST
SHAWNEE, OK 74801
Pottawatomie County (405) 275-3340

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 Tanner Clark's NPI number?

The NPI number for Tanner Clark is 1427421668. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Where is Tanner Clark located?

Tanner Clark practices at 326 W 11th St, Shawnee, OK 74801. The listed phone number is (580) 262-0250.

What is Tanner Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tanner Clark enrolled in Medicare?

Yes. Tanner Clark 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 organizations bill Medicare for Tanner Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Clark reassigns Medicare benefits to 2 organizations: Iowa Physicians Clinic Medical Foundation (West Des Moines, IA) and Abbe Center For Community Mental Health, Inc (Cedar Rapids, IA). Each 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 Tanner Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanner Clark accept?

Health plans from Medica, Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Tanner Clark 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 Tanner Clark was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.