Organization Active NPI

Whiting & Associates, LLC

  • Counseling Psychologist
  • Lee's Summit, MO
National Provider Identifier
1699817718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1806 Issued in MO
Legal business name
WHITING & ASSOCIATES, LLC
Practice address
618 SE 4TH St Ste 106
Lees Summit, MO 64063-2908
Phone
(816) 554-7750
Fax
(816) 554-7866
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerri Lynn Whiting, PH.D.NPI 1588702245
Title
Owner
Phone
(816) 554-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 1806 MO Primary

Addresses

Primary practice location

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

Mailing address

618 SE 4TH St Ste 106
Lees Summit, MO 64063-2908
Phone (816) 554-7750

Other identifiers 1

IdentifierTypeStateIssuer
26992011OtherMNBCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000571 MO Part B Supplier - Clinic/Group Practice 3274629118 Receives reassigned benefits from 5 practitioners
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

4025 NE Lakewood Way
Ste 210
Lees Summit, MO 64064
Phone (816) 554-7750

632 SE 4th St
Lees Summit, MO 64063
Phone (816) 554-7750

618 SE 4th St
Ste 106
Lees Summit, MO 64063
Phone (816) 554-7750

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699817718",
    "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": "816-554-7866"
        },
        {
            "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": "816-554-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITING & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-554-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "26992011",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.