JEREMIAH L. PENROD (NPI# 1568899805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568899805 |
| Entity Type | Individual |
| Full Name | JEREMIAH L. PENROD |
| Credential | SMFT |
| Practice Address |
560 W Mount Vernon St Nixa MO 65714-9681 |
| Mailing Address |
2108 W Vista St Springfield MO 65807-5918 |
| Practice Telephone | 4174131593 |
| Mailing Telephone | 4175974309 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
560 W MOUNT VERNON ST |
| City | NIXA |
| State | MO |
| Zip Code | 65714-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407194913 | Catherine E Platt | Counselor | 560 W Mount Vernon St, Nixa, MO 65714-9681 | 2013-01-18 |
| 1134584196 | Justin Robert Jones | Psychologist | 560 W Mount Vernon St, Nixa, MO 65714-9681 | 2015-12-17 |
| 1033518931 | Brittany A Pratt | Counselor | 560 W Mount Vernon St, Nixa, MO 65714-9681 | 2014-08-15 |
| 1205266624 | Jennifer Savage | Counselor | 560 W Mount Vernon St, Nixa, MO 65714-9681 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295162 | David William Belt | Marriage & Family Therapist | 1501 W 42nd St, Kansas City, MO 64111-4147 | 2020-08-11 |
| 1437799483 | Katarina Louisa Keller | Marriage & Family Therapist | 901 W Main St Ste 201, Blue Springs, MO 64015-3743 | 2020-01-07 |
| 1316586035 | Dana Lynne Van Ness | Marriage & Family Therapist | 119 Jared St, Waynesville, MO 65583-3452 | 2019-12-27 |
| 1326686189 | Megan R Garza | Marriage & Family Therapist | 3720 Hampton Ave Ste 201a, Saint Louis, MO 63109-1438 | 2019-12-11 |
| 1710524277 | Kathie Lynn Hoffmann | Marriage & Family Therapist | 3743 Main St, Kansas City, MO 64111-1912 | 2019-12-03 |
| 1508410929 | Danielle Lockhart | Marriage & Family Therapist | 1000 E 24th St Unit 2e, Kansas City, MO 64108-2776 | 2019-07-25 |
| 1962060160 | Jill Hamilton | Marriage & Family Therapist | 1511 Westport Rd Ste A, Kansas City, MO 64111-4301 | 2019-06-03 |
| 1023671849 | Maria Mercedes Dominguez | Marriage & Family Therapist | 124 Ellis St, Fort Leonard Wood, MO 65473-1148 | 2019-04-17 |
| 1023579919 | Steven Place | Marriage & Family Therapist | 1244 Us Highway 60 E, Republic, MO 65738-1248 | 2019-03-25 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.