DR. JERRI LYNN WHITING (PH.D.) – Counseling Psychologist, NPI 1588702245

DR. JERRI LYNN WHITING (PH.D.) is a healthcare provider. based in Lees summit, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 01805 (MO). The NPI Number for DR. JERRI LYNN WHITING (PH.D.) is 1588702245

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRI LYNN WHITING (PH.D.)
NPI
1588702245
Phone
(816) 554-7750
Address
618 SE 4TH ST STE 106
Enumeration Date
2 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165547750
Graduation Year
1994 (32 years ago)
PAC ID
3375625379
Group Practice PAC ID
3274629118
Professional Enrollment ID
I20120210000066
Address ID
MO640642059LE4025XWAYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

Provider Addresses for DR. JERRI LYNN WHITING (PH.D.)

  • 618 SE 4TH ST STE 106

    LEES SUMMIT, MO 640632908

    Phone: (816) 554-7750

    Fax: (816) 554-7750

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120210000066IClinical PsychologistMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19613$0
View full utilization report →

Insurance plans in this area (ZIP 64063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274629118View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

How is DR. JERRI LYNN WHITING (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JERRI LYNN WHITING (PH.D.) with NPI 1588702245.
Can I rely on DR. JERRI LYNN WHITING (PH.D.) being an active provider?
As of the registry snapshot, DR. JERRI LYNN WHITING (PH.D.) is marked active.
What is DR. JERRI LYNN WHITING (PH.D.)'s specialty?
The listing groups DR. JERRI LYNN WHITING (PH.D.) with Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. JERRI LYNN WHITING (PH.D.) based?
DR. JERRI LYNN WHITING (PH.D.) is tied to Lees Summit, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about DR. JERRI LYNN WHITING (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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