Kenneth Dewayne Pickens

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

473 Elks Lodge Rd
Pawhuska, OK 74056-6542

Phone

(539) 212-2499

Fax

(539) 212-2648

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Osage Nation Osage Nation Counseling Center

  dba Oncc

  • Clinic/Center
  • Pawhuska, OK
  • NPI 1841451309
  NPD

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1740141522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 13TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740562321",
            "telephone_number": "918-287-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 ELKS LODGE RD",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740566542",
            "telephone_number": "539-212-2499",
            "fax_number": "539-212-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "KENNETH",
        "middle_name": "DEWAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wynn Pelkey
• Rebekah Lahressa Perigo
• Ashlee C Perrier
• Lindsay Ray Perry
• Loyce Mae Pester, LPN
• Francis B Pipestem
• Jon S Polen, M.S. , LPC
• Melissa Polizzi
• Joseph Pratt
• James R Priest, MD

• Peer Specialist in Pawhuska, OK
• Providers in Pawhuska, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.