Marissa Blankenship, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105746 Issued in TX

Practice address

5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246

Phone

(512) 710-0551

Fax

(512) 717-6337

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Three Oaks Counseling Group LLCGroup PAC ID 2163728692, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Three Oaks Counseling Group, LLC

  • Psychiatry Physician
  • West Lake Hills, TX
  • NPI 1457753287

  Social Worker

  Medicare reassignment Care Compare group NPD
• Georgetown Psychological Services PLLC

  • Psychologist
  • Georgetown, TX
  • NPI 1942504949

  Multi-Specialty

  NPD (past)
• Christian Children'S Home of Ohio

  • Adolescent and Children Mental Health Clinic/Center
  • Wooster, OH
  • NPI 1588694590

  Multi-Specialty

  NPD (past)
• Christian Children'S Home of Ohio

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wooster, OH
  • NPI 1871161539
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1124504725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3041",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786543077",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE H2",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465246",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Armstrong Rd",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446919041",
            "country_code": "US",
            "telephone_number": "330-345-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105746",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473561501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily L. Blouin, LPC
• Bluebonnet Diabetes & Endocrinology PLLC
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• Clinical Social Worker in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.