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MRS. TRACI KRISTINE RIDDLE LPC
NPI 1891877619
Counselor - Professional in Muskogee, OK

Active since October 20, 2006PECOS Enrolled
4009 EUFAULA AVE, MUSKOGEE, OK 74403(918) 682-2841(918) 686-6859 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Traci Kristine Riddle Lpc NPPES

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

MRS. TRACI KRISTINE RIDDLE LPC (NPI 1891877619) is an individual professional provider in Muskogee, Oklahoma, licensed in Oklahoma (2259) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1891877619
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TRACI KRISTINE RIDDLECredential: LPC
Location Address4009 EUFAULA AVEMuskogee, OK 74403-1132
Mailing Address609 Cary PlMuskogee, OK 74403-8581 · (918) 686-7987
Phone(918) 682-2841
Fax(918) 686-6859
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891877619 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 · 2259
4009 EUFAULA AVE, Muskogee, OK 74403
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Traci Kristine Riddle Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719478122
PECOS Enrollment IDI20251113002794
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 Reassignment

Medicare enrollment records show Traci Riddle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green Country Behavioral Health Services, Inc.
3.1 mi
Mental Health (Including Community Mental Health Center)
619 N MAIN ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 30 clinicians in this Medicare group
NPI 1336203132 (918) 682-8407

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KARA WERTHER BSW
Case Manager/Care Coordinator
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (186) 822-8419
MR. ADOLPHUS FRED BAILEY MHP
Counselor (Mental Health)
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (918) 682-2841
RUSSELL ROWLAND
Counselor (Addiction (Substance Use Disorder))
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (918) 682-2841
LAUREN R KIRK
Case Manager/Care Coordinator
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (918) 682-2841
BRANDI MICHELLE KING
Case Manager/Care Coordinator
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (918) 682-2841
WILLIAM FLOYD BALDWIN JR.
Peer Specialist
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (918) 682-2841
ROCKY BRYAN BALLARD
Peer Specialist
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (191) 868-2284
MUSKOGEE COUNTY COUNCIL OF YOUTH SERVICE
Community/Behavioral Health
4009 EUFAULA AVE
MUSKOGEE, OK 74403
Muskogee County (918) 682-2841

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 Traci Riddle's NPI number?

The NPI number for Traci Riddle is 1891877619. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Traci Riddle located?

Traci Riddle practices at 4009 Eufaula Ave, Muskogee, OK 74403. The listed phone number is (918) 682-2841.

What is Traci Riddle's specialty?

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

Is Traci Riddle enrolled in Medicare?

Yes. Traci Riddle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Traci Riddle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Riddle reassigns Medicare benefits to Green Country Behavioral Health Services, Inc. (Muskogee, OK). The 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 Traci Riddle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Traci Riddle accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Traci Riddle 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 Traci Riddle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.