Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Melissa Sue Blackburn, LPC

Individual provider Mental Health Counselor · NPI 1376817031

MS. Melissa Sue Blackburn, LPC is a Mental Health Counselor in Tishomingo, Oklahoma. Qualified in 2011, 15 years ago. Practices with Family Health Center of Southern Oklahoma Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC05238 (OK)

Record details

NPI number1376817031
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 28, 2012
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Family Health Center Of Southern Oklahoma Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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