Individual provider Active NPI

Kevin W. Pittenger, PLPC

  • Mental Health Counselor
  • Springfield, MO
National Provider Identifier
1285987420
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2012026708 Issued in MO
Practice address
1550 E Battlefield St Ste a
Springfield, MO 65804-3700
Phone
(417) 869-9011
NPI assigned
Oct 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2012026708 MO Primary

Addresses

Primary practice location

1550 E Battlefield St Ste a
Springfield, MO 65804-3700

Mailing address

1550 E Battlefield St Ste a
Springfield, MO 65804-3700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240923001986 MO Practitioner - Mental Health Counselor 9032650684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012026708MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Betty and Bobby Allison Ozarks Counseling Center CurrentSince Jul 5, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1285987420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E BATTLEFIELD ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E BATTLEFIELD ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043700",
            "telephone_number": "417-869-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTENGER",
        "first_name": "KEVIN",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2012026708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.