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

Q: 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.

Q: What is Traci Riddle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Traci Riddle was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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.

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

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

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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)

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

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.