MRS. SUSAN RENEE YOUNGBLOOD (LPC) – Professional Counselor, NPI 1225245046

MRS. SUSAN RENEE YOUNGBLOOD (LPC) is a healthcare provider. based in Wilson, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 3573 (OK). The NPI Number for MRS. SUSAN RENEE YOUNGBLOOD (LPC) is 1225245046

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN RENEE YOUNGBLOOD (LPC)
NPI
1225245046
Phone
(580) 668-2337
Address
867 US HIGHWAY 70A
Enumeration Date
17 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058424911
Graduation Year
2003 (23 years ago)
PAC ID
9739532797
Group Practice PAC ID
6608776349
Professional Enrollment ID
I20240126001006
Address ID
OK731168608OK4045XSTXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for MRS. SUSAN RENEE YOUNGBLOOD (LPC)

  • 867 US HIGHWAY 70A

    WILSON, OK 734631683

    Phone: (580) 668-2337

    Fax: (405) 573-0404

    Type: Location

  • 4001, Knights Bridge Street, Castlerock, Norman, Cleveland County, Oklahoma, 73072, United States

    NORMAN, OK 730721743

    Phone: (405) 627-0276

    Fax: (405) 573-0404

    Type: Mailing

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: 2024-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240126001006IMental Health CounselorOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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 73463)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608776349View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK
-OK
Clinical Social WorkerOK
Clinical Social WorkerOK
-OK
Clinical Social WorkerOK
Clinical Social WorkerTX
Clinical Social WorkerOK

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. SUSAN RENEE YOUNGBLOOD (LPC)?
NPI 1225245046 is assigned to MRS. SUSAN RENEE YOUNGBLOOD (LPC) under the national enumeration system.
Is MRS. SUSAN RENEE YOUNGBLOOD (LPC) currently active in the NPI registry?
CMS-published data lists MRS. SUSAN RENEE YOUNGBLOOD (LPC) as an active registrant.
Can you summarize MRS. SUSAN RENEE YOUNGBLOOD (LPC)'s specialty in plain language?
Clinically, the directory lists MRS. SUSAN RENEE YOUNGBLOOD (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is MRS. SUSAN RENEE YOUNGBLOOD (LPC)'s primary listing?
We display Wilson, Oklahoma because that is what the record indicates for MRS. SUSAN RENEE YOUNGBLOOD (LPC).
How can I contact MRS. SUSAN RENEE YOUNGBLOOD (LPC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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