Active NPI 1407775331 Individual Practitioner Female Practitioner

Kendra Nicholson

Counselor - Professional • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Kendra Nicholson is a registered healthcare professional specializing in Counselor - Professional in Springfield, MO. Practice services are available at 1717 E REPUBLIC RD STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1717 E Republic Rd Ste D

Springfield, MO 658046588

Telephone 4173514282

Fax 8446832342

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.9 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

664 Specialists

Practicing in Springfield, MO (5929 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-14

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2026021915

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Mariah Kochell , PLPC

Counselor - Professional

NPI 1013519164

Kathryn Loethen

Social Worker

NPI 1073433231

Molly Swann

Counselor - Professional

NPI 1215856869

Riley Grinnell

Counselor - Professional

NPI 1326656141

Mackenzie Eibert

Counselor - Professional

NPI 1467210310

Paige Tuck , LPC

Counselor - Mental Health

NPI 1487141040

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 14, 2026

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2026

Registered at 1717 E REPUBLIC RD STE D, SPRINGFIELD, MO 658046588 (Tel: 4173514282)

📍

Updated Business Mailing Address July 14, 2026

Registered at 1717 E REPUBLIC RD STE D, SPRINGFIELD, MO 658046588 (Tel: 4173514282)

👤

Provider Name / Credentials Updated July 14, 2026

Recorded as KENDRA NICHOLSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

Counselor (License #2026021915 in MO)

🟢

Initial NPI Registration & Enumeration July 14, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407775331

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2026

Last Update: July 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1717 E Republic Rd Ste D

Springfield, MO 658046588

Phone: 4173514282

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.