Healthcare Provider Details

I. General information

NPI: 1295882462
Provider Name (Legal Business Name): REX O. BLEVINS MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 WORNALL RD
KANSAS CITY MO
64114-5806
US

IV. Provider business mailing address

8301 E 221ST ST
PECULIAR MO
64078-9058
US

V. Phone/Fax

Practice location:
  • Phone: 816-508-3500
  • Fax: 816-508-3535
Mailing address:
  • Phone: 816-509-5919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001289
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: