Individual provider Active NPI

Wendy Tunnessen

  • Counselor
  • Walters, OK
National Provider Identifier
1073960936
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
420 E Wyoming St
Walters, OK 73572-2862
Phone
(580) 450-1129
NPI assigned
May 20, 2016
Last updated
May 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

420 E Wyoming St
Walters, OK 73572-2862

Mailing address

420 E Wyoming St
Walters, OK 73572-2862
Phone (580) 450-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718003746 OK Practitioner - Mental Health Counselor 6709321631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Our House Mhsa Inc CurrentSince Jun 13, 2024 Accepting new patients
Wendy Tunnessen Past Accepting new patients

Locations

2305 SW H Ave
Ste 1
Lawton, OK 73505
Phone (580) 699-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1073960936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E WYOMING ST",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735722862",
            "telephone_number": "580-450-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E WYOMING ST",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735722862",
            "telephone_number": "580-450-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNESSEN",
        "first_name": "WENDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walters, OK

Sources for this page

Verify at the official NPI Registry.