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Tammy J Jackson , LICENSED PSYCHOLOGIS

Psychologist β€’ Lees Summit, MO

Active NPI 1235294018 Individual Practitioner Female Practitioner
Practice location in NPPES

1272 Ne Windsor Dr
Lees Summit, MO 640865594

Call 8162464465 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1272 Ne Windsor Dr

Lees Summit, MO 640865594

Telephone 8162464465
Organization at the Same NPPES Address or Phone
Healing Grace Ministries, Inc Facility NPI 1346417706

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lees Summit and Missouri

11 active clinicians are listed under Psychologist with a practice address in Lees Summit, MO (579 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lees Summit

9.1% of these 11 clinicians have the CMS telehealth indicator.

9.1% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MO 01757

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Counseling

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES MO 01757

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

License # reported to NPPES MO 01757

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dawn Clendenen-Moon

Social Worker - Clinical

NPI 1487289062
Jesse Mccall

Social Worker - Clinical

NPI 1528724085
Marni Scott

Social Worker - Clinical

NPI 1205421054
Susan Taylor-Amos , LCSW

Social Worker - Clinical

NPI 1023790086

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Psychologist (license number reported to NPPES: MO 01757)

πŸ“
Updated Business Mailing Address April 05, 2019

Registered at 1272 NE WINDSOR DR, LEES SUMMIT, MO 640865594 (Tel: 8162464465)

βœ…
NPI Profile Active August 18, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 18, 2010

Registered at 1272 NE WINDSOR DR, LEES SUMMIT, MO 640865594 (Tel: 8162464465)

πŸ“
Business Mailing Address (Initial Record) August 18, 2010

Registered at 14605 HEDGECOCK RD, GREENWOOD, MO 640348230 (Tel: 8165408960)

πŸ‘€
Provider Name / Credentials (Initial Record) August 18, 2010

Recorded as TAMMY JACKSON, LICENSED PSYCHOLOGIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2010

Psychologist (license number reported to NPPES: MO 01757)

🟒
Initial NPI Registration & Enumeration December 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235294018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2006
Last Update: October 11, 2019
Sole Proprietor: No

Other Psychologists in Lees Summit

Healthcare providers in Lees Summit

Mailing Address

1272 Ne Windsor Dr

Lees Summit, MO 640865594

Phone: 8162464465

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.