Active NPI
Tanner Ray Gordon Madden, LMSW
- Mental Health Counselor
- Lindsay, OK
National Provider Identifier
1801617006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 21050
- Practice address
- 216 S Main St
Lindsay, OK 73052-5634 - Phone
- (405) 756-1414
- NPI assigned
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 21050 | OK | Primary |
Addresses
Primary practice location
216 S Main St
Lindsay, OK 73052-5634
Mailing address
216 S Main St
Lindsay, OK 73052-5634
Phone (405) 756-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21050 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1801617006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 S MAIN ST",
"city": "LINDSAY",
"state": "OK",
"postal_code": "730525634",
"telephone_number": "405-756-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 S MAIN ST",
"city": "LINDSAY",
"state": "OK",
"postal_code": "730525634",
"telephone_number": "405-756-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "TANNER",
"middle_name": "RAY GORDON",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "21050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindsay, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.