WANDA A BLACKWELL MS, LPC
NPI 1740350396
Counselor in Shawnee, OK

Q: What is Wanda Blackwell's NPI number?

The NPI number for Wanda Blackwell is 1740350396. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Wanda Blackwell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Blackwell was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment

1131 N KICKAPOO AVE, SHAWNEE, OK 74801(405) 275-2877(405) 275-2877 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wanda A Blackwell Ms, Lpc NPPES

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

WANDA A BLACKWELL MS, LPC (NPI 1740350396) is an individual counselor in Shawnee, Oklahoma, licensed in Oklahoma (LPC #3140) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1740350396

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameWANDA A BLACKWELLCredential: MS, LPC

Location Address1131 N KICKAPOO AVEShawnee, OK 74801-4845

Mailing AddressPo Box 3Morris, OK 74445-0003 · (918) 733-9486

Phone(405) 275-2877

Fax(405) 275-2877

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 9, 2006

Last NPPES UpdateFebruary 9, 2010

✔ NPI 1740350396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OK · LPC #3140

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1131 N KICKAPOO AVE, Shawnee, OK 74801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.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

Wanda A Blackwell Ms, 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 ID143667519

PECOS Enrollment IDI20240320003278

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.

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 Wanda Blackwell's NPI number?

The NPI number for Wanda Blackwell is 1740350396. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Wanda Blackwell located?

Wanda Blackwell practices at 1131 N Kickapoo Ave, Shawnee, OK 74801. The listed phone number is (405) 275-2877.

What is Wanda Blackwell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Wanda Blackwell enrolled in Medicare?

Yes. Wanda Blackwell 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 Wanda Blackwell accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Wanda Blackwell 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 Wanda Blackwell was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.