Individual provider Active NPI

Andrew B Bedford

  • Professional Counselor
  • Joplin, MO
National Provider Identifier
1982187613
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018030265 Issued in MO
Practice address
305 S Virginia Ave
Joplin, MO 64801-2323
Phone
(417) 347-7730
NPI assigned
Sep 10, 2018
Last updated
Jan 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13033 OK
Professional Counselor 101YP2500X 2018030265 MO Primary

Addresses

Primary practice location

305 S Virginia Ave
Joplin, MO 64801-2323

Mailing address

5520 Jay Dr
Diamond, MO 64840-8266
Phone (530) 867-4810

Other practice location 1

1336 N Harrison Ave
Shawnee, OK 74801-5206
Phone (405) 275-7100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231207002247 MO Practitioner - Mental Health Counselor 9931558517 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018030265MOMDProfessional Counselor
13033OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince Jan 1, 2024 Accepting new patients
Ozark Center Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

305 S Virginia Ave
Joplin, MO 64801
Phone (417) 347-7660

3220 Wisconsin Ave
Joplin, MO 64804
Phone (417) 347-7630

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1982187613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 JAY DR",
            "city": "DIAMOND",
            "state": "MO",
            "postal_code": "648408266",
            "telephone_number": "530-867-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S VIRGINIA AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012323",
            "telephone_number": "417-347-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 N Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748015206",
            "country_code": "US",
            "telephone_number": "405-275-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "ANDREW",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "13033",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018030265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.