NPIMap

Individual provider Active NPI

Kebah Frances Edoho

  • Mental Health Counselor
  • Springfield, MO
National Provider Identifier
1972077048
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3525 S National Ave Ste 206
Springfield, MO 65807-7315
Phone
(417) 269-6891
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Psychologist 103T00000X 2023044352 MO

Addresses

Primary practice location

3525 S National Ave Ste 206
Springfield, MO 65807-7315

Mailing address

20410 Observation Dr Ste 108
Germantown, MD 20876-6419

Other practice location 1

525 Branson Landing Blvd Ste 219A
Branson, MO 65616-2052
Phone (417) 269-6891

Other practice location 2

20410 Observation Dr Ste 108
Germantown, MD 20876-6419
Phone (240) 296-5638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702004172 MO Practitioner - Clinical Psychologist 1052824943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

3525 S National Ave
Suite 206
Springfield, MO 65807-7315
Phone (417) 269-6891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers Psychologist CurrentSince Mar 1, 2026 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 23, 2025 Accepting new patients
Lester E Cox Medical Centers Psychologist CurrentSince Jun 23, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2026 Accepting new patients
Skaggs Community Hospital Association Psychologist Past Accepting new patients

Locations

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3525 S National Ave
Ste 206
Springfield, MO 65807
Phone (417) 269-9200

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1972077048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR STE 108",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S NATIONAL AVE STE 206",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077315",
            "telephone_number": "417-269-6891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 219A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-269-6891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20410 Observation Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208766419",
            "country_code": "US",
            "telephone_number": "240-296-5638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDOHO",
        "first_name": "KEBAH",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2023044352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.