Amy Elizabeth Jeffries, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016031774 Issued in MO

Practice address

406 College St # 2
Greenfield, MO 65661-1346

Phone

(417) 637-1476

Fax

(866) 520-5586

NPI assigned

Oct 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Elizabeth Masek Former name

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

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 and National Provider Directory roles.

• Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Monett, MO
  • NPI 1801807771
  Medicare reassignment NPD
• Sac River Counseling, Inc.

  • Clinical Psychologist
  • Greenfield, MO
  • NPI 1538365614

  Professional

  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1417408253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BARWICK PL",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "65781",
            "telephone_number": "402-499-6357",
            "fax_number": "866-520-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 COLLEGE ST # 2",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656611346",
            "telephone_number": "417-637-1476",
            "fax_number": "866-520-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016031774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MASEK",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy Friend, PTA
• Greenfield Pharmacy Inc
• Greenfield Pharmacy Inc (Greenfield Pharmacy)
• Greenfield R-IV Schools
• Rebecca Kay Harshaw, R.D.H.
• Cody Jeffries, PSYD
• Teresa Anne Johnson, NP-C
• Randy Kyle Meents, PHARM.D.
• Christian J Michau, P.L.P.C.
• Brandi Kay Norman, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.