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Kyle Watson , LPC

Counselor - Professional β€’ Springfield, MO

Active NPI 1073981064 Individual Practitioner Male Practitioner
Practice location in NPPES

1505 E Bradford Pkwy
Springfield, MO 658046566

Call 4173226622 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

1505 E Bradford Pkwy

Springfield, MO 658046566

Telephone 4173226622
Fax 4173501935
Organization at the Same NPPES Address or Phone
Vital Accurate Leading Operational Radiology Facility NPI 1174479141

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Ozark, MO; Springfield, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

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 Springfield and Missouri

647 active clinicians are listed under Counselor - Professional with a practice address in Springfield, MO (5,803 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

2.3% of these 647 clinicians have the CMS telehealth indicator.

9.4% of these 647 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

Self-certified to NPPES: 2023-03-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2015031019
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
830101319 (MO)

Secondary Practice Locations

5548 N Farmer Branch Rd

Ozark, MO 657215315

Phone: 4173226622

3600 S National Ave

Springfield, MO 658077311

Phone: 4173226622

Clinicians Sharing This Practice Address or Phone

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

15 listed
Amy Ashley , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1518730449

Psychiatric-Mental Health Nurse Practitioner

Charles Eldridge , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1871162206

Psychiatric-Mental Health Nurse Practitioner

Olga Eldridge , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1750121307

Psychiatric-Mental Health Nurse Practitioner

Lisa Galeski , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548894611

Advanced Practice Registered Nurse

John Hukriede , PA

Physician Assistant

NPI 1518252725

Physician Assistant

Alisha Jain , PMHNP-BC, APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1942718978

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location March 01, 2023

Registered at 1505 E BRADFORD PKWY, SPRINGFIELD, MO 658046566 (Tel: 4173226622)

πŸ“
Updated Practice Location October 08, 2021

Registered at 3100 S NATIONAL AVE STE 103, SPRINGFIELD, MO 658077347 (Tel: 4173226622)

πŸ“
Updated Business Mailing Address October 08, 2021

Registered at 3600 S NATIONAL AVE, SPRINGFIELD, MO 658077311 (Tel: 4173226622)

πŸ“
Updated Practice Location August 09, 2018

Registered at 1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103 (Tel: 3142063700)

πŸ“
Updated Business Mailing Address August 09, 2018

Registered at 1430 OLIVE ST STE 400, SAINT LOUIS, MO 631032303 (Tel: 3142063700)

πŸ‘€
Provider Name / Credentials Updated August 09, 2018

Recorded as KYLE WATSON, LPC

βœ…
NPI Profile Active September 08, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 08, 2015

Registered at 3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 658044242 (Tel: 4175974572)

πŸ“
Business Mailing Address (Initial Record) September 08, 2015

Registered at 3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 658044242 (Tel: 4175974572)

πŸ‘€
Provider Name / Credentials (Initial Record) September 08, 2015

Recorded as KYLE WATSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2015

Counselor (license number reported to NPPES: MO 2015031019)

🟒
Initial NPI Registration & Enumeration September 08, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073981064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2015
Last Update: March 01, 2023
Sole Proprietor: Yes

Other Counselor - Professionals in Springfield

Healthcare providers in Springfield

Mailing Address

3600 S National Ave

Springfield, MO 658077311

Phone: 4173226622

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.