Active NPI
Nina L Epperson, MS
- Psychologist
- Independence, MO
National Provider Identifier
1609836642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY01535
- Practice address
- 11004 E 40 Hwy
Suite 123
Independence, MO 64055-6023 - Phone
- (816) 356-2244
- Fax
- (816) 356-4955
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY01535 | MO | Primary |
Addresses
Primary practice location
11004 E 40 Hwy
Suite 123
Independence, MO 64055-6023
Mailing address
1303 Edgewood Dr
Suite 101
Jefferson City, MO 65109-1943
Phone (573) 636-6727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01535 | MO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Missouri Counseling, Inc | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- Jefferson City, MO
- NPI 1568547123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189814400000",
"number": "1609836642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 EDGEWOOD DR",
"address_2": "SUITE 101",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651091943",
"telephone_number": "573-636-6727",
"fax_number": "573-761-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11004 E 40 HWY",
"address_2": "SUITE 123",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556023",
"telephone_number": "816-356-2244",
"fax_number": "816-356-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "NINA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2007-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY01535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.