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Tanner Boles, M.A.
NPI 1104247279 · Mental Health Counselor · Moore, OK
Tanner Boles, M.A. is a Mental Health Counselor provider in Moore, OK (NPI 1104247279).
Provider details
- NPI number
- 1104247279
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LPC06783 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
620 Nw 5th St
Moore, OK 73160-3948
Phone: (405) 208-4469
Street-level locationGet directions
Mailing address
9124 Rolling Meadows Dr
Guthrie, OK 73044-8645
Registry dates
- Enumerated
- 2013-12-17
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Frequently asked questions
- What is Tanner Boles's NPI number?
- Tanner Boles's National Provider Identifier (NPI) is 1104247279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanner Boles's specialty?
- Tanner Boles is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tanner Boles located?
- Tanner Boles's practice location on file with NPPES is 620 Nw 5th St, Moore, OK 73160-3948.
- What is Tanner Boles's phone number?
- The practice phone number listed in the NPPES registry for Tanner Boles is (405) 208-4469.
- Is Tanner Boles's NPI active?
- Yes — Tanner Boles's NPI (1104247279) is active in the NPPES registry as of the last update on 2023-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.