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NPI Code Detail

MEDICARE: MR. REX O. BLEVINS MA, LPC

MEDICARE:  MR. REX O. BLEVINS  MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor001289MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295882462
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. REX O. BLEVINS MA, LPC
Provider Business Mailing Address
First Line : 8301 E 221ST ST
Second Line :
City : PECULIAR
State : MO
Zip : 64078-9058
Country : US
Telephone Number : 816-509-5919
Fax Number :
Provider Business Practice Location Address
First Line : 8150 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5806
Country : US
Telephone Number : 816-508-3500
Fax Number : 816-508-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 04/01/2026

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