Patrick D Patterson, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2021005296 Issued in MO

Practice address

1358 E Kingsley St Ste E
Springfield, MO 65804-7245

Phone

(417) 414-0333

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psych Associates LLC

  • Health Service Psychologist
  • Springfield, MO
  • NPI 1316458441
  NPD
• Healing Bridge LLC

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1891266375
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1629646195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 E KINGSLEY ST STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047245",
            "telephone_number": "417-414-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 E KINGSLEY ST STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047245",
            "telephone_number": "417-414-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021005296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patientcare Medical LLC (PatientCare Family Clinic)
• Patrick M Bauer DDS Ms PC
• Kristin Patrick, OD
• Joyce M. Patrikus, NNP
• Kathryn A Patterson, NP
• Caren Stephine Patton, MSN, FPMHNP
• Rebecca Patton, BS
• Paul W. Iles Inc.
• Jenica Myrea Paulsen, A.T.C.
• Kendrick J Payne, MSW, LCSW

• Mental Health Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.