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MS. MELISSA SUE BLACKBURN LPC
NPI 1376817031
Counselor - Mental Health in Tishomingo, OK

Active since February 28, 2012PECOS EnrolledAccepts Medicare Assignment
610 E 24TH ST, TISHOMINGO, OK 73460(580) 371-2343 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2022, Dec 11, 2018 (2 updates tracked since 2018).

About Ms. Melissa Sue Blackburn Lpc NPPES

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

MS. MELISSA SUE BLACKBURN LPC (NPI 1376817031) is an individual mental health provider in Tishomingo, Oklahoma, licensed in Oklahoma (LPC05238) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376817031
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MELISSA SUE BLACKBURNCredential: LPC
Location Address610 E 24TH STTishomingo, OK 73460-3245
Mailing Address610 E 24th StTishomingo, OK 73460-3245 · (580) 371-2343 · Fax (580) 371-3614
Phone(580) 371-2343
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 28, 2012
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1376817031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · LPC05238
610 E 24TH ST, Tishomingo, OK 73460
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Dewbre Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Melissa Sue Blackburn Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618325275
PECOS Enrollment IDI20231121002189
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.

DARCI LYNN BOWEN APRN-CNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
UNA LORRAINE MCELHANY ARNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
WILSON L DAVIS MD
Internal Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
TOMMIE GAY STANBERRY PA-C
Physician Assistant (Medical)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
DR. ERIC SCOTT LEE D.O.
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
RELINDA LEA BLACK APRN-CNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
ROBERT G BISHOP MD
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
STEPHANIE PATRICIA JONES DO
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343

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 Melissa Blackburn's NPI number?

The NPI number for Melissa Blackburn is 1376817031. It was assigned to this individual provider in the NPPES registry on February 28, 2012. The provider is also known as Melissa Dewbre Lpc.

Where is Melissa Blackburn located?

Melissa Blackburn practices at 610 E 24th St, Tishomingo, OK 73460. The listed phone number is (580) 371-2343.

What is Melissa Blackburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melissa Blackburn enrolled in Medicare?

Yes. Melissa Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melissa Blackburn accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Melissa Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Blackburn was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.