MRS. TINA LAJEAN NEWBERRY – Counselor, NPI 1629350384

MRS. TINA LAJEAN NEWBERRY is a healthcare provider. based in Sapulpa, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MRS. TINA LAJEAN NEWBERRY is 1629350384

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TINA LAJEAN NEWBERRY
NPI
1629350384
Phone
(918) 216-4622
Address
23 E ROSS AVE
Enumeration Date
19 September 2011
Last Update Date
19 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
6507118056
Group Practice PAC ID
8022061373
Professional Enrollment ID
I20240103000018
Address ID
OK744622708ST2013XLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for MRS. TINA LAJEAN NEWBERRY

  • 23 E ROSS AVE

    SAPULPA, OK 740666423

    Phone: (918) 216-4622

    Type: Location

  • 504 S WILLIAMS ST

    STILWELL, OK 749603642

    Phone: (918) 696-7190

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240103000018IMental Health CounselorOKTBD
I20251124002157IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022061373View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Nurse PractitionerOK
-OK
O P T O M E T R YOK
Nurse PractitionerOK
Nurse PractitionerOK
-OK
Clinical Social WorkerOK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is MRS. TINA LAJEAN NEWBERRY listed with a National Provider Identifier?
Yes — MRS. TINA LAJEAN NEWBERRY has NPI 1629350384 on file in the registry.
Is MRS. TINA LAJEAN NEWBERRY still an active registrant?
MRS. TINA LAJEAN NEWBERRY carries an active NPI according to the public dataset.
How would a patient describe MRS. TINA LAJEAN NEWBERRY's focus?
For MRS. TINA LAJEAN NEWBERRY, the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. TINA LAJEAN NEWBERRY?
Directory geography for MRS. TINA LAJEAN NEWBERRY centers on Sapulpa, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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