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MS. ODETTA MARIA MOORE LPC
NPI 1689958894
Counselor - Professional in Tulsa, OK

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment
5310 E 31ST ST, TULSA, OK 74135(918) 600-3100(918) 560-1399 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Odetta Maria Moore Lpc NPPES

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

MS. ODETTA MARIA MOORE LPC (NPI 1689958894) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (LPC06275) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689958894
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ODETTA MARIA MOORECredential: LPC
Location Address5310 E 31ST STTulsa, OK 74135-5018
Mailing AddressPo Box 701111Tulsa, OK 74170-1111 · (918) 406-7195
Phone(918) 600-3100
Fax(918) 560-1399
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 6, 2011
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1689958894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · LPC06275
5310 E 31ST ST, Tulsa, OK 74135
Open in Google Maps ↗

Secondary Practice Location 1

Location 16655 S Yale AveTulsa, OK 74136-3326 · Phone (918) 491-3700 · Fax (918) 481-4063

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare.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. Odetta Maria Moore Lpc 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 ID2860843521
PECOS Enrollment IDI20240105004122
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

3

Medicare enrollment records show Odetta Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mind & Heart Therapy, LLC
2.0 mi
Professional
5525 E 51ST ST
Tulsa, OK 74135
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1568072965 (918) 561-6237
Laureate Psychiatric Clinic And Hospital Inc
3.6 mi
Psychiatric Hospital
6655 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 144 clinicians in this Medicare group
NPI 1710985064 (918) 481-4000
Homecare Advisors LLC
148 mi
Mental Health (Including Community Mental Health Center)
2701 W UNIVERSITY BLVD
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 47 clinicians in this Medicare group
NPI 1689152894 (918) 360-7014

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 3

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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
151 services19 patients
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.
130 services11 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.
21 services20 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.

MARC BYLES MSW
Social Worker
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
MR. NICHOLAS CHARLES HENSON
Case Manager/Care Coordinator
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
MISS PAYTON RAE CARR
Case Manager/Care Coordinator
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
KATHRYN ANN BEAVERS
Social Worker
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
MRS. HALI DAWN HARJO RN
Registered Nurse
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
JOCELYN ROBERSON
Social Worker
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
TIFFANY JO JONES LCSW
Counselor
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100
MRS. MI-CHELLE HARVEY
Case Manager/Care Coordinator
5310 E 31ST ST
TULSA, OK 74135
Tulsa County (918) 600-3100

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 Odetta Moore's NPI number?

The NPI number for Odetta Moore is 1689958894. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Odetta Moore located?

Odetta Moore practices at 5310 E 31st St, Tulsa, OK 74135. The listed phone number is (918) 600-3100.

What is Odetta Moore's specialty?

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

Is Odetta Moore enrolled in Medicare?

Yes. Odetta Moore 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 Odetta Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odetta Moore reassigns Medicare benefits to 3 organizations: Mind & Heart Therapy, LLC (Tulsa, OK), Laureate Psychiatric Clinic And Hospital Inc (Tulsa, OK) and Homecare Advisors LLC (Durant, OK). 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 Odetta Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Odetta Moore accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and CommunityCare list Odetta Moore 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 Odetta Moore was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.