Jackie L Norris, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016013856 Issued in MO

Practice address

1001 E Daniel Dr
Mount Vernon, MO 65712-9690

Phone

(417) 476-1000

NPI assigned

Aug 21, 2023

Last updated

Nov 17, 2025By the provider in NPPES

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

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

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Community Mental Health CenterGroup PAC ID 8527069277, 25 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Monett, MO
  • NPI 1801807771
  Medicare reassignment Care Compare group NPD
• Connected Counseling Services

  • Professional Counselor
  • Springfield, MO
  • NPI 1033766035
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1770367856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 E ELM ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023227",
            "telephone_number": "417-719-1440",
            "fax_number": "417-216-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E DANIEL DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657129690",
            "telephone_number": "417-476-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1759 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658023227",
            "country_code": "US",
            "telephone_number": "417-719-1440",
            "fax_number": "417-216-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JACKIE",
        "middle_name": "L",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016013856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motherworks, LLC
• Mount Vernon Eyecare Associates, LLC
• Mt Vernon Place Care Center, Inc.
• Sandra Nkechi Muoghalu, DDS
• Linda Myers, MD
• Jacob Nunn
• Brandon O'Connell, DC
• Oncare
• Alaina A Orr, HIS
• Linda Louise Page, M.S.

• Professional Counselor in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.