LISA D TIDWELL-MCKAY MS, CADC, LPC-S
NPI 1629375761
Counselor - Mental Health in Tahlequah, OK

Q: What is Lisa Tidwell-mckay's NPI number?

The NPI number for Lisa Tidwell-mckay is 1629375761. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Q: What is Lisa Tidwell-mckay's specialty?

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

Active since February 25, 2011PECOS EnrolledAccepts Medicare Assignment

19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-3555(539) 234-3501 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2021, Sep 28, 2020 (2 updates tracked since 2020).

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About Lisa D Tidwell-mckay Ms, Cadc, Lpc-s NPPES

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

LISA D TIDWELL-MCKAY MS, CADC, LPC-S (NPI 1629375761) is an individual mental health provider in Tahlequah, Oklahoma, licensed in Oklahoma (5739) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629375761

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLISA D TIDWELL-MCKAYCredential: MS, CADC, LPC-S

Location Address19600 E ROSS STTahlequah, OK 74464-0545

Mailing Address6810 S. 55th St. E.Muskogee, OK 74403 · (918) 310-6279

Phone(539) 234-3555

Fax(539) 234-3501

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 25, 2011

Last NPPES UpdateApril 20, 20212 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1629375761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 5739

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 412 (OK)

19600 E ROSS ST, Tahlequah, OK 74464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Lisa D Tidwell-mckay Ms, Cadc, Lpc-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 ID6002265915

PECOS Enrollment IDI20231218000481

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370171

Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County

Emergency services Birthing friendly

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.

LINDSEY MICHELLE STROTHER PA

Physician Assistant