JONATHAN DANIEL TEDDER (NPI# 1750620621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750620621 |
| Entity Type | Individual |
| Full Name | JONATHAN DANIEL TEDDER |
| Practice Address |
407 Ne 17th St Blanchard OK 73010-9486 |
| Practice Telephone | 4052089219 |
| Mailing Telephone | 4052089219 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | BHRS | OK | Behavioral Health & Social Service Providers |
| Street Address |
407 NE 17TH ST |
| City | BLANCHARD |
| State | OK |
| Zip Code | 73010-9486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1811154008 | Brant D. Spencer D.c. P.C. | Chiropractor | 104 S Main Street, Blanchard, OK 73010 | 2008-05-16 |
| 1932374675 | Travis L Turney Dds | Clinic/Center | 809 East Veterans Memorial Hwy, Blanchard, OK 73010 | 2008-04-24 |
| 1215134051 | Travis Lisle Turney | Dentist | 809 E Veterans Memorial Hwy, Blanchard, OK 73010 | 2007-06-27 |
| 1083735625 | Stephanie R Nesmith | Counselor | 27811 Portland Ave, Blanchard, OK 73010 | 2007-04-02 |
| 1588608376 | Ronald Keith Smith | Dentist | 1019 N. Council Ave, Suite # 2, Blanchard, OK 73010 | 2006-06-15 |
| 1659333557 | Brant D. Spencer | Chiropractor | 104 S. Main, Blanchard, OK 73010 | 2006-04-05 |
| 1376519397 | Vincent Michael Young | Optometrist | 112 S. Main, Blanchard, OK 73010 | 2006-02-28 |
| 1528693074 | Kaitlyn Nicole Boyce | Behavior Technician | 14828 Serenita Ave, Oklahoma City, OK 73010 | 2020-03-05 |
| Find all providers in zip 73010 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235506411 | Blanchard Christian Counseling LLC | Counselor | 1019 N Council Ave., Ste 5, Blanchard, OK 73010-8046 | 2015-08-24 |
| 1619263100 | Allira M Elliott | Counselor | 2918 Mallard Cir, Blanchard, OK 73010-8989 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1881200558 | Nichole Rae Krausch | Counselor | 1507 S Mckenna St, Poteau, OK 74953-5207 | 2020-09-18 |
| 1467068098 | Mckenzie Mcguffee | Counselor | 717 Briarcrest Dr, Midwest City, OK 73110-1619 | 2020-09-18 |
| 1629683727 | Mason Counseling Services | Counselor | 12718 E 77th Pl N, Owasso, OK 74055-7938 | 2020-09-15 |
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1982214292 | Tera Dee Robbins | Counselor | 1002 Cambell Street, Warner, OK 74469 | 2020-08-03 |
| 1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1043829278 | Tracy Nanette Mckeown | Counselor | 1777 S Yukon Pkwy, Yukon, OK 73099-4599 | 2020-07-23 |
| 1063039915 | Sarah Nicole Hawthorne | Counselor | 12834 S Old Highway 169, Oologah, OK 74053-3333 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.