Scott Alexander Blackburn, LMSW-P

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7530-P Issued in OK

Practice address

124 E 6TH St
Pawhuska, OK 74056-4204

Phone

(918) 604-6054

NPI assigned

Oct 15, 2020

Sex

Male

Sole proprietor

No

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.

• Oklahoma Treatment Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1306277082
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2020.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1982202438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S ASH ST",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740484628",
            "telephone_number": "918-273-7344",
            "fax_number": "918-999-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 6TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564204",
            "telephone_number": "918-604-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "SCOTT",
        "middle_name": "ALEXANDER",
        "credential": "LMSW-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7530-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakaya Lynn Jean Barker
• Heather N Barkley
• James F Barnett, D.PH
• Charles Barrone
• Gabriele Dawn Barrone
• Bowring Public School
• Jonathan Brewer, M.D.
• Penny Lynn Britton
• Amy Odessa Brown, RDH
• Kamola Bruton

• All providers in Pawhuska, OK
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.