Jason H Kirkpatrick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2006013032 Issued in MO

Practice address

4801 Weldon Spring Pkwy
Suite 300
Weldon Spring, MO 63304-9101

Phone

(636) 474-9164

Fax

(636) 949-0729

NPI assigned

Mar 8, 2010

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nystrom Counseling Mo PCGroup PAC ID 6103264494, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nystrom Counseling Mo, PC

  dba Sagent Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • O'Fallon, MO
  • NPI 1184401762
  Medicare reassignment Care Compare group NPD
• St. Charles Psychiatric Associates, Inc.

  • Specialist
  • Weldon Spring, MO
  • NPI 1164631495
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1013230853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "address_2": "SUITE 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-474-9164",
            "fax_number": "636-949-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "address_2": "SUITE 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-474-9164",
            "fax_number": "636-949-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "JASON",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006013032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Johnston, D.C.
• Carol Lynn Jones, M.S. CCC/SLP
• Amanda Maria Kearney, PMHNP-BC
• Sara M Kemp
• Mehreen Belal Khann, M.D.
• Kohlbrecher Mobility LLC (101 Mobility of St. Louis)
• Kimberly Christen Koors, DMD
• Spencer Kronauge, DPT
• Sara Jane Krone, SLP
• Despina (Penny) Angela Kyramarios, M.S., CCC-SLP

• Professional Counselor in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.