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

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 and National Provider Directory roles.

• Osage Nation Osage Nation Counseling Center

  • 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.