Jerri Lynn Whiting, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

01805 Issued in MO

Practice address

618 SE 4TH St Ste 106
Lees Summit, MO 64063-2908

Phone

(816) 554-7750

Fax

(816) 554-7750

NPI assigned

Feb 2, 2007

Sex

Female

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

Other names 1

• Miss Jerri Lynn Wood 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

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Whiting and Associates, LLCGroup PAC ID 3274629118, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Whiting & Associates, LLC

  • Counseling Psychologist
  • Lee's Summit, MO
  • NPI 1699817718
  Medicare reassignment Care Compare group NPD Authorized official
• Subbu J Sarma MD LLC

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1427686138
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588702245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SE 4TH ST STE 106",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632908",
            "telephone_number": "816-554-7750",
            "fax_number": "816-554-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SE 4TH ST STE 106",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632908",
            "telephone_number": "816-554-7750",
            "fax_number": "816-554-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "JERRI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "01805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "23418044",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRI",
            "last_name": "WOOD",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam White, PLPC
• Jamie White
• Justin David White, DC
• Kiersten Marie White
• Whiting & Associates, LLC
• Sean Whitmore
• Dane K Wicks, MD
• Amy Wieboldt, LCSW
• Tyann Wiederholt
• Janna Wiele, MSW, LCSW

• Counseling Psychologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Counseling Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.