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Active NPI 1740350396 Individual Practitioner Female Practitioner

Wanda A Blackwell , MS, LPC

Counselor • Shawnee, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Wanda Blackwell, MS, LPC is a certified Counselor practicing in Shawnee, OK. With approximately 36 years of clinical experience since completing medical education in 1990, Wanda Blackwell delivers high-quality medical care to the local community at 1131 N KICKAPOO AVE.

Wanda Blackwell is affiliated with Quest Mhsa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1131 N Kickapoo Ave

Shawnee, OK 748014845

Telephone 4052752877
Fax 4052752877
Associated Practice Facility / Clinic
🏢 Rural Area Counseling Facility NPI 1649553876

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Shawnee, OK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +17.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Shawnee, OK (4611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackwell (36 Years) 36 Yrs
Shawnee Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OK LPC #3140

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.

Hospital & Practice Group Affiliations

Quest Mhsa

307 Sw B St, Antlers, OK 745233824

Phone: 5803268605

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Kathy Rosamond , CM

Case Manager/Care Coordinator

NPI 1194009589
Cynthia Yerby

Case Manager/Care Coordinator

NPI 1508149246
Randy Lack

Counselor - Mental Health

NPI 1588947691
Tiffany Smith , MS, LPC CANDIDATE

Counselor - Professional

NPI 1609188929

Master of Science, LPCCANDIDATE

Deborah Cotton

Case Manager/Care Coordinator

NPI 1619248978
Sherry Robinson

Social Worker

NPI 1831496173

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2010

Registered at 1131 N KICKAPOO AVE, SHAWNEE, OK 748014845 (Tel: 4052752877)

📍
Updated Business Mailing Address February 09, 2010

Registered at PO BOX 3, MORRIS, OK 744450003 (Tel: 9187339486)

👤
Provider Name / Credentials Updated February 09, 2010

Recorded as WANDA BLACKWELL, MS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2010

Counselor (License #LPC #3140 in OK)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740350396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: February 09, 2010
Sole Proprietor: No

Mailing Address

Po Box 3

Morris, OK 744450003

Phone: 9187339486

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.