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ETHAN EVERETT BLASDEL MS
NPI 1821592544
Counselor - Mental Health in Stillwater, OK

Active since March 19, 2018PECOS Enrolled
421 E THOMAS AVE, STILLWATER, OK 74075(405) 372-2202(405) 445-3780 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Everett Blasdel Ms NPPES

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

ETHAN EVERETT BLASDEL MS (NPI 1821592544) is an individual mental health provider in Stillwater, Oklahoma and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821592544
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN EVERETT BLASDELCredential: MS
Location Address421 E THOMAS AVEStillwater, OK 74075-2600
Mailing Address421 E Thomas AveStillwater, OK 74075-2600 · (405) 372-2202 · Fax (405) 445-3780
Phone(405) 372-2202
Fax(405) 445-3780
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2018
✔ NPI 1821592544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
421 E THOMAS AVE, Stillwater, OK 74075
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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, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Everett Blasdel Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436631330
PECOS Enrollment IDI20260227004062
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. DANA MASHELL DAWES
Case Manager/Care Coordinator
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-2202
JILLINA HOXSIE
Clinic/Center (Mental Health (Including Community Mental Health Center))
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (450) 372-7776
MRS. MICHELLE RENEE' FIELDING
Case Manager/Care Coordinator
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-2202
HAILEY HARDESTY-SHAW LPC
Counselor (Mental Health)
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-7791
MIAO TIAN
Counselor (Mental Health)
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-7791
TAMMY L BOYLAN BS
Case Manager/Care Coordinator
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-2202
ERIKA DRIVER
Peer Specialist
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-2202
ZADIE MAE EAKINS
Case Manager/Care Coordinator
421 E THOMAS AVE
STILLWATER, OK 74075
Payne County (405) 372-2202

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 Ethan Blasdel's NPI number?

The NPI number for Ethan Blasdel is 1821592544. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Ethan Blasdel located?

Ethan Blasdel practices at 421 E Thomas Ave, Stillwater, OK 74075. The listed phone number is (405) 372-2202.

What is Ethan Blasdel's specialty?

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

Is Ethan Blasdel enrolled in Medicare?

Yes. Ethan Blasdel is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Blasdel accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Providence Health Plan list Ethan Blasdel 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 Ethan Blasdel was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.