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

Q: 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.

Q: What is Tanner Clark's specialty?

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

Q: 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 10 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.

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: August 16, 2026.

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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 Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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