Mckenzie Nickerson, LPC | |
1423 N Jefferson Ave, 3rd Floor, Springfield, MO 65802 | |
(417) 761-5000 | |
(417) 761-5011 |
Full Name | Mckenzie Nickerson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1423 N Jefferson Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043807456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2021005306 (Missouri) | Primary |
Entity Name | Lester E Cox Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073905915 PECOS PAC ID: 5799787784 Enrollment ID: O20150608002749 |
Mailing Address | Practice Location Address |
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Mckenzie Nickerson, LPC Po Box 844715, Kansas City, MO 64184-4715 Ph: (417) 761-5214 | Mckenzie Nickerson, LPC 1423 N Jefferson Ave, 3rd Floor, Springfield, MO 65802 Ph: (417) 761-5000 |
Mrs. Rebecca J Barratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2131 S Eastgate Ave, Springfield, MO 65809 Phone: 417-763-3309 Fax: 417-763-3331 | |
Mrs. Lori Renee Radford, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 E Walnut St, Springfield, MO 65806 Phone: 417-459-2117 | |
Stephanie J Robbins, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5850 | |
Brian Vega, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 E Sunshine St, Ste W-29, Springfield, MO 65804 Phone: 417-887-9950 Fax: 417-888-0226 | |
Linda L. Britt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 W Republic Rd Ste G100, Springfield, MO 65807 Phone: 417-862-8282 Fax: 417-862-8805 | |
Ms. Jessica Ann Heavin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 E Sunshine St Ste 338, Springfield, MO 65804 Phone: 417-823-8000 Fax: 417-823-9334 | |
Angie Fitzpatrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 W Elfindale St, Springfield, MO 65807 Phone: 417-864-7921 |