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SUSIE TIDWELL
NPI 1457605479
Counselor - Mental Health in Ardmore, OK

Active since October 29, 2012
32 N WASHINGTON ST, ARDMORE, OK 73401(580) 226-5209(580) 226-5219 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susie Tidwell NPPES

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

SUSIE TIDWELL (NPI 1457605479) is an individual mental health provider in Ardmore, Oklahoma and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1457605479
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSIE TIDWELL
Location Address32 N WASHINGTON STArdmore, OK 73401-7013
Mailing AddressPo Box 48Mead, OK 73449-0048 · (580) 745-9610 · Fax (580) 745-9650
Phone(580) 226-5209
Fax(580) 226-5219
Sole ProprietorNo
Enumeration DateOctober 29, 2012
✔ NPI 1457605479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
32 N WASHINGTON ST, Ardmore, OK 73401
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Other Identifiers 2

Medicaid200049040OK
Medicaid100708380AOK

Other Providers at the Same Location NPPES 16

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

KAREN GLENN BHRS
Behavior Analyst
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 224-9845
STEPHEN W BLANKENSHIP BHRS
Counselor (Mental Health)
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 226-5209
CHRISTIE DARST
Speech-Language Pathologist
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 530-6161
KIRK HODARI RUSSELL BHRS
Counselor (Mental Health)
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 226-5209
ALTERNATIVE OPPORTUNITIES, INC.
Case Management
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 745-9650
SAMMIE CUNNINGHAM BHRS
Counselor (Mental Health)
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 226-5209
MS. TRISTA DEEANN GANNON
Counselor (Mental Health)
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 226-5209
HEATHER HACKER
Counselor (Mental Health)
32 N WASHINGTON ST
ARDMORE, OK 73401
Carter County (580) 226-5209

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 Susie Tidwell's NPI number?

The NPI number for Susie Tidwell is 1457605479. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Susie Tidwell located?

Susie Tidwell practices at 32 N Washington St, Ardmore, OK 73401. The listed phone number is (580) 226-5209.

What is Susie Tidwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Susie Tidwell was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.