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Sarah Wolf Tedder

Counselor - Professional β€’ Shawnee, OK

Active NPI 1710347828 Individual Practitioner Female Practitioner
Practice location in NPPES

624 W Independence St Ste 105
Shawnee, OK 748044329

Call 4052799416 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

624 W Independence St Ste 105

Shawnee, OK 748044329

Telephone 4052799416
Organization at the Same NPPES Address or Phone
Coffman 405 Counseling Llc Facility NPI 1669043311

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Sarah Wolf Tedder has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Sarah Wolf Tedder as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Shawnee and Oklahoma

43 active clinicians are listed under Counselor - Professional with a practice address in Shawnee, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Shawnee

0% of these 43 clinicians have the CMS telehealth indicator.

11.6% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OK 6546
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260128002226

Enrollment State Jurisdiction

OK

PECOS Control ID

6709364151

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 05, 2025

Registered at 624 W INDEPENDENCE ST STE 105, SHAWNEE, OK 748044329 (Tel: 4052799416)

πŸ‘€
Provider Name / Credentials Updated November 05, 2025

Recorded as SARAH WOLF TEDDER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

Counselor (license number reported to NPPES: OK 6546)

βœ…
NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2016

Registered at 744 SE 25TH ST, OKLAHOMA CITY, OK 731294843 (Tel: 4056361463)

πŸ“
Business Mailing Address (Initial Record) March 02, 2016

Registered at 15500 JEFFERSONS GARDEN CT, EDMOND, OK 730131410 (Tel: 4053308200)

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2016

Recorded as SARAH WOLF

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Counselor

🟒
Initial NPI Registration & Enumeration March 02, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710347828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2016
Last Update: November 05, 2025
Sole Proprietor: Yes

Mailing Address

15500 Jeffersons Garden Ct

Edmond, OK 730131410

Phone: 4053308200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.