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MRS. RENEE MAXINE BLACKWELL LPC
NPI 1285477000
Counselor - Professional in Norman, OK

Active since June 18, 2024PECOS Enrolled
1120 E MAIN ST, NORMAN, OK 73071(405) 360-5100 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, May 5, 2026, Jun 18, 2024 (3 updates tracked since 2024).

About Mrs. Renee Maxine Blackwell Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RENEE MAXINE BLACKWELL LPC (NPI 1285477000) is an individual professional provider in Norman, Oklahoma, licensed in Oklahoma (12218) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285477000
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. RENEE MAXINE BLACKWELLCredential: LPC
Location Address1120 E MAIN STNorman, OK 73071-5300
Mailing Address17305 Vitoria DrOklahoma City, OK 73170-6644 · (940) 631-7529
Phone(405) 360-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 18, 2024
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1285477000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 12218
1120 E MAIN ST, Norman, OK 73071
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Renee Maxine Blackwell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002385804
PECOS Enrollment IDI20260520003333
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NAOMI HANKINS LPC
Counselor (Professional)
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 360-5100
SAMANTHA BOLLINGER LPC
Counselor (Professional)
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 573-3812
RUTH WILSEY RN
Registered Nurse
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 573-3812
PRECIOUS WILLIAMS
Case Manager/Care Coordinator
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 573-3812
XY'LYN ANDERSON CPRSS
Peer Specialist
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 360-5100
MRS. MARY ANN DIMERY SUPERVISION FOR LPC
Counselor (Mental Health)
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 573-3835
BREANNA LYNNE RUSSELL
Case Manager/Care Coordinator
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 573-3982
MRS. SETH DAWN COLDWELL BHCMII
Case Manager/Care Coordinator
1120 E MAIN ST
NORMAN, OK 73071
Cleveland County (405) 360-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Blackwell's NPI number?

The NPI number for Renee Blackwell is 1285477000. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Renee Blackwell located?

Renee Blackwell practices at 1120 E Main St, Norman, OK 73071. The listed phone number is (405) 360-5100.

What is Renee Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Renee Blackwell enrolled in Medicare?

Yes. Renee Blackwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renee Blackwell was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.