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Active NPI 1851831432 Individual Practitioner Female Practitioner

Virginia Tedlock , LPC

Counselor - Professional • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Virginia Tedlock, LPC is a registered healthcare professional specializing in Counselor - Professional in Shawnee, OK. Practice services are available at 1904 GORDON COOPER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1904 Gordon Cooper Dr

Shawnee, OK 748018603

Telephone 4052732157

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Shawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
44 Specialists

Practicing in Shawnee, OK (2681 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 1965

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mary Chakenatho , MA, CCC-SLP

Speech-Language Pathologist

NPI 1265966618

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Elesha Jordan , ARNP

Nurse Practitioner - Family

NPI 1477841526

Advanced Registered Nurse Practitioner

Kristina Feezor , APRN

Nurse Practitioner - Family

NPI 1972975092

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2017

Registered at 1904 GORDON COOPER DR, SHAWNEE, OK 748018603 (Tel: 4052732157)

📍
Updated Business Mailing Address March 02, 2017

Registered at 394006 E LL50 RD, WELEETKA, OK 74880 (Tel: 9186521643)

👤
Provider Name / Credentials Updated March 02, 2017

Recorded as VIRGINIA TEDLOCK, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Counselor (License #1965 in OK)

🟢
Initial NPI Registration & Enumeration March 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851831432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2017
Last Update: March 02, 2017
Sole Proprietor: No

Mailing Address

394006 E Ll50 Rd

Weleetka, OK 74880

Phone: 9186521643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.