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SARAH WOLF TEDDER
NPI 1710347828
Counselor - Professional in Shawnee, OK

Active since March 02, 2016PECOS Enrolled
624 W INDEPENDENCE ST STE 105, SHAWNEE, OK 74804(405) 279-9416 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Mar 2, 2016 (2 updates tracked since 2016).

About Sarah Wolf Tedder NPPES

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

SARAH WOLF TEDDER (NPI 1710347828) is an individual professional provider in Shawnee, Oklahoma, licensed in Oklahoma (6546) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710347828
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSARAH WOLF TEDDER
Location Address624 W INDEPENDENCE ST STE 105Shawnee, OK 74804-4329
Mailing Address15500 Jeffersons Garden CtEdmond, OK 73013-1410 · (405) 330-8200
Phone(405) 279-9416
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 2, 2016
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1710347828 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 · 6546
624 W INDEPENDENCE ST STE 105, Shawnee, OK 74804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Wolf Tedder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709364151
PECOS Enrollment IDI20260128002226
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.

Other Providers at the Same Location NPPES 2

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

DEBORAH L SHARP
Counselor (Mental Health)
624 W INDEPENDENCE ST STE 105
SHAWNEE, OK 74804
Pottawatomie County (405) 434-2301
COFFMAN 405 COUNSELING LLC
Counselor (Mental Health)
624 W INDEPENDENCE ST STE 105
SHAWNEE, OK 74804
Pottawatomie County (405) 481-4120

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 Sarah Wolf Tedder's NPI number?

The NPI number for Sarah Wolf Tedder is 1710347828. It was assigned to this individual provider in the NPPES registry on March 2, 2016.

Where is Sarah Wolf Tedder located?

Sarah Wolf Tedder practices at 624 W Independence St Ste 105, Shawnee, OK 74804. The listed phone number is (405) 279-9416.

What is Sarah Wolf Tedder's specialty?

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

Is Sarah Wolf Tedder enrolled in Medicare?

Yes. Sarah Wolf Tedder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Wolf Tedder was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.