HOLLY CADDELL
NPI 1548759327
Counselor - Mental Health in Tahlequah, OK

NPI Status: Active since May 07, 2018

Contact Information

1323 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 708-3006

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  • Individual
  • Female
  • Years of Experience 9
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About HOLLY CADDELL

This page provides the complete NPI Profile along with additional information for Holly Caddell, a provider established in Tahlequah, Oklahoma with a medical specialization in Counselor, focusing in mental health and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1548759327 assigned on May 2018. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1548759327
Provider Name
HOLLY CADDELL
Gender
Female
Entity Type
Individual
Location Address
1323 W KEETOOWAH ST TAHLEQUAH, OK 74464
Location Phone
(918) 708-3006
Mailing Address
1323 W KEETOOWAH ST TAHLEQUAH, OK 74464
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
05-07-2018
Last Update Date
05-07-2018
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A mental health counselor like Holly Caddell provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Holly Caddell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Holly Caddell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1052760121

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231228000107

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Holly Caddell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL100 S BLISS AVENUE
TAHLEQUAH, OK 74464
(918) 458-3100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548759327
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881451834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 4 + 5 + 1 + 8 + 3 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1548759327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295920734LOFTIN FAMILY PRACTICE
Organization
Clinic/Center1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 456-3425
1326558008 STEPHANIE JOLENE WHIPPLE
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1407228752GRAND LAKE MENTAL HEALTH CENTER, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1326516022 RACHEL ELIZABETH CLINTON
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1720560261 MICHELLE RENEE SHADE
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 708-3006
1669125753 ALICIA PEARL SANDERS APRN
Individual
Nurse Practitioner (Family)1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 931-3890
1144956681 JENNIE SHAE WASHINGTON
Individual
Peer Specialist1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 506-6901
1265166193 DUSTY ROLLICE PRSS
Individual
Peer Specialist1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 316-0573
1760023717 SARAH ROSE LOY
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 931-3890
1689338519NORTHEASTERN HEALTH SYSTEM
Organization
Counselor (Addiction (Substance Use Disorder))1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 506-6901
1154139566 RACHEL FREIHOFF-LEWIN LPN
Individual
Case Manager/Care Coordinator1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464
(918) 931-3890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548759327, enumerated in the NPI registry as an "individual" on May 07, 2018

The provider is located at 1323 W Keetoowah St Tahlequah, Ok 74464 and the phone number is (918) 708-3006

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 9 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The practitioner is affiliated to the following hospital(s): CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 07, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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