Jeremy Wayne Case, MA, LPC
Individual provider Active NPI Professional Counselor · Columbia, MO
NPI 1154884146 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1154884146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2021018466 (MO)
- Practice address
- 105 E Ash St
Columbia, MO 65203-4094 - Phone
- (573) 777-7530
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021018466 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- jeremycase@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2021018466 | MO | Yes |
Addresses
Primary practice location
105 E Ash St
Columbia, MO 65203-4094
Mailing address
6335 W Junge Blvd
Joplin, MO 64804-8031
Phone (620) 202-3110
Other practice location 1
6335 W Junge Blvd
Joplin, MO 64804-8031
Phone (620) 202-3110
Other providers in Columbia, MO
- Carla Romina Caruso
- Jacob Christopher Caruso
- Bradley Dale Cary
- Suzanne Michelle Cary
- John J Cascone
- Jade Casey
- Jessica Casey
- Tyler Patrick Casey
- Andrew L Cash
- Ricardo Michael Cason Jr.
All providers in Columbia, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.