Individual provider Active NPI

Rachel Lynn Richardson-Wood

  • Counselor
  • Tahlequah, OK
National Provider Identifier
1700395902
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1640 W Keetoowah St
Tahlequah, OK 74464-3497
Phone
(918) 708-9009
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

1640 W Keetoowah St
Tahlequah, OK 74464-3497

Mailing address

514 N Broadway
Locust Grove, OK 74352-5019
Phone (918) 931-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260105003303 TX Practitioner - Mental Health Counselor 6709372204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

514 N Broadway
Locust Grove, OK 74352-5019

9820 E 41St St
Suite 302
Tulsa, OK 74146-3651

PO Box
Suite 1245
Tahlequah, OK 74465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Echota Behavioral Health Services, LLC CurrentSince Sep 23, 2025 Accepting new patients

Locations

16414 W 760 Rd
Tahlequah, OK 74464
Phone (918) 537-4482

1640 W Keetoowah St
Tahlequah, OK 74464
Phone (918) 456-2250

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1700395902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N BROADWAY",
            "city": "LOCUST GROVE",
            "state": "OK",
            "postal_code": "743525019",
            "telephone_number": "918-931-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643497",
            "telephone_number": "918-708-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON-WOOD",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.