DR. JUDSON R BLISS (LPC, LCSW) – Professional Counselor, NPI 1750587739
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,245 CLINICAL SOCIAL WORKER in MO
Provider Addresses for DR. JUDSON R BLISS (LPC, LCSW)
9133, Fayette Avenue, Wesbrook, Affton, Saint Louis County, Missouri, 63123, United States
SAINT LOUIS, MO 631234454
Phone: (314) 544-8348
Type: Mailing
5 PREMIER DR STE 200
FENTON, MO 630262943
Phone: (314) 544-3800
Type: Mailing
1349 McNutt St
Herculaneum, MO 630481510
Phone: (636) 638-2203
Fax: (636) 638-2206
Type: Location
5 Premier Dr Ste 200
Fenton, MO 630262943
Phone: (314) 544-3800
Type: Location
8420, Delmar Boulevard, University City, Saint Louis County, Missouri, 63124, United States
SUITE 209
SAINT LOUIS, MO 631242170
Phone: (314) 605-3504
Type: Location
500 CLARK AVE
ST A
UNION, MO 630841004
Phone: (636) 583-1800
Fax: (636) 583-0836
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161207001858 | I | Clinical Social Worker | MO | TBD |
| I20231221001151 | I | Mental Health Counselor | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | VA | |
| Mental Health Counselor | MO | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Mental Health Counselor | MO | |
| - | IL | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO |
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