Wynona Irene Tucker, LMFT CANDIDATE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11337 Issued in OK

Practice address

112 McKinley Ave
Chandler, OK 74834-1622

Phone

(405) 424-7711

NPI assigned

Mar 16, 2023

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Mental Health CouncilGroup PAC ID 3173514387, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Oklahoma Mental Health Council

  dba Red Rock Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1275574907
  Medicare reassignment Care Compare group
• Okmulgee-Okfuskee County Youth Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Okmulgee, OK
  • NPI 1073634168
  NPD (past)

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1194426056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E 10TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017308",
            "telephone_number": "405-915-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MCKINLEY AVE",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748341622",
            "telephone_number": "405-424-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "WYNONA",
        "middle_name": "IRENE",
        "credential": "LMFT CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "11337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sturdy Wings Healthcare of Chandler, LLC
• Karie M. Talkington, M.ED; LPC-S; CSP; NC
• Tiffany Talley
• Valerie Taylor, CBHCM-CAF
• Todd L Thompson Sr., RPBT
• Angela Guest Vandenbark, RDN
• Jolene Vaughan
• Vitruvian Chiropractic
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0387)
• Alyse Walker, LPC

• Marriage & Family Therapist in Chandler, OK
• Providers in Chandler, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.