Individual provider Active NPI

Sarah Wolf Tedder

  • Professional Counselor
  • Shawnee, OK
National Provider Identifier
1710347828
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6546 Issued in OK
Practice address
624 W Independence St Ste 105
Shawnee, OK 74804-4329
Phone
(405) 279-9416
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6546 OK Primary

Addresses

Primary practice location

624 W Independence St Ste 105
Shawnee, OK 74804-4329

Mailing address

15500 Jeffersons Garden CT
Edmond, OK 73013-1410
Phone (405) 330-8200

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
I20260128002226 OK Practitioner - Mental Health Counselor 6709364151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18800 Valley View Rd
Earlsboro, OK 74840-3610

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Jan 20, 2026 Accepting new patients
Tedder Therapy Practice, PLLC Current Accepting new patients

Locations

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1710347828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 JEFFERSONS GARDEN CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131410",
            "telephone_number": "405-330-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W INDEPENDENCE ST STE 105",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044329",
            "telephone_number": "405-279-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF TEDDER",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.