Jeffrey Alderman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016016575 Issued in MO

Practice address

636 W Republic Rd
Springfield, MO 65807-5824

Phone

(318) 366-0453

NPI assigned

May 31, 2016

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Crest Counseling Center IncGroup PAC ID 3779631619, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Eagle Crest Counseling Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MO
  • NPI 1659421931
  Medicare reassignment Care Compare group NPD
• Honour Brite LLC

  dba Eustasis Psychiatric and Addiction Health

  • Multi-Specialty Clinic/Center
  • Springfield, MO
  • NPI 1548760820
  Medicare reassignment NPD
• Eustasis Foundation, Inc

  • Voluntary or Charitable Agency
  • Springfield, MO
  • NPI 1386257780
  NPD
• McGuire Christian Counseling Inc.

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1912141789
  NPD

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1063860195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075824",
            "telephone_number": "318-366-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075824",
            "telephone_number": "318-366-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERMAN",
        "first_name": "JEFFREY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016016575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490032838",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faye Albrecht
• Michael A Albritton, MD
• Tori N Alcorn, LMSW
• Breanna Alder, PT, DPT
• Matthew Noble Alder, MD
• Brooke Aldrich, PHARMD
• Jessica A Aldrich, LMSW
• Nathaniel Aldrich, PHARMD
• Anthony James Alexander, FNP, PMHNP
• Sam Alexander, M.D.

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.