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Patrick Anthony Tetrick , MS, LPC

Counselor - Professional β€’ Springfield, MO

Active NPI 1861823619 Individual Practitioner Male Practitioner
Practice location in NPPES

630 W Kearney St
Springfield, MO 658032508

Call 4177615900 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

630 W Kearney St

Springfield, MO 658032508

Telephone 4177615900
Organization at the Same NPPES Address or Phone
Advocates For A Healthy Community, Inc. Facility NPI 1275642282

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

NPI first issued

2013

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

Enrolled in Medicare (PECOS)

Patrick Tetrick has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Patrick Tetrick as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

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: 2026-05-11
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2013042527
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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20231215000383

Enrollment State Jurisdiction

MO

PECOS Control ID

9335598366

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

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

2 listed
Juanita Hart , MSW, LCSW

Social Worker - Clinical

NPI 1558941294

Master of Social Work, Licensed Clinical Social Worker

Paula Warner , MSN, FPMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1942656368

Master of Science in Nursing, FPMHNP

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location May 11, 2026

Registered at 630 W KEARNEY ST, SPRINGFIELD, MO 658032508 (Tel: 4177615900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2022

Counselor (license number reported to NPPES: MO 2013042527)

πŸ“
Updated Practice Location September 10, 2020

Registered at 1350 SPUR DR STE 230, MARSHFIELD, MO 657062196 (Tel: 4177615900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Counselor

πŸ“
Updated Practice Location August 01, 2019

Registered at 1931 E CHERRY ST, SPRINGFIELD, MO 658023646 (Tel: 4177615000)

πŸ“
Updated Business Mailing Address August 01, 2019

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

πŸ‘€
Provider Name / Credentials Updated August 01, 2019

Recorded as PATRICK TETRICK, MS, LPC

βœ…
NPI Profile Active December 05, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 05, 2013

Registered at 941 CHEROKEE DR STE 2B, MARSHALL, MO 653403646 (Tel: 6608310908)

πŸ“
Business Mailing Address (Initial Record) December 05, 2013

Registered at 941 CHEROKEE DR STE 2B, MARSHALL, MO 653403646 (Tel: 6608310908)

πŸ‘€
Provider Name / Credentials (Initial Record) December 05, 2013

Recorded as PATRICK TETRICK, MS, PLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2013

Counselor (license number reported to NPPES: MO 2013042527)

🟒
Initial NPI Registration & Enumeration December 04, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861823619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2013
Last Update: May 11, 2026
Sole Proprietor: No

Other Counselor - Professionals in Springfield

Healthcare providers in Springfield

Mailing Address

1300 E Bradford Pkwy

Springfield, MO 658044264

Phone: 4177615000

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.