Midwest Counseling and Assessment, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2010030531 Issued in MO

Legal business name

MIDWEST COUNSELING AND ASSESSMENT, LLC

Practice address

408 Washington Ave Ste 107
West Plains, MO 65775-3404

Phone

(417) 255-8790

Fax

(417) 222-6991

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Long, PSYDNPI 1639280688

Title

Owner, Licensed Psychologist

Phone

(417) 425-2565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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.

• Jennifer Suzanne Long, PSYD

  • Clinical Psychologist
  • West Plains, MO
  • NPI 1639280688
  Medicare reassignment Authorized official
• Curtis Lee Cook, LPC

  • Mental Health Counselor
  • West Plains, MO
  • NPI 1871100834
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841720547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WASHINGTON AVE STE 107",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753404",
            "telephone_number": "417-255-8790",
            "fax_number": "417-222-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WASHINGTON AVE STE 107",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753404",
            "telephone_number": "417-255-8790",
            "fax_number": "417-222-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COUNSELING AND ASSESSMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-425-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2010030531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Dawn Meeks
• Gloria Maria Meixueiro
• Melton Consulting and Counseling
• Michaela Kile Chiropractic
• Anna Michel
• Midwest Family Medicine Clinic PC
• Tess Margaret Miley, MS, LPC
• Michael Eugene Mill
• Allison Miller, PT, DPT
• Deanna J Miller, PT, MPT, PCS

• Clinical Psychologist in West Plains, MO
• Providers in West Plains, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.