DR. SEAN CLOUSE (PHD) – Counseling Psychologist, NPI 1902428790

DR. SEAN CLOUSE (PHD) is a healthcare provider. based in Columbia, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2012033766 (MO). The NPI Number for DR. SEAN CLOUSE (PHD) is 1902428790

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEAN CLOUSE (PHD)
NPI
1902428790
Phone
(573) 586-3204
Address
1427 COACHLAMP CT
Enumeration Date
14 May 2020
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
57358632042
Graduation Year
2007 (19 years ago)
PAC ID
6901339209
Group Practice PAC ID
1052843273
Professional Enrollment ID
I20241024003584
Address ID
MO652036804CO601XXBLVD404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

Provider Addresses for DR. SEAN CLOUSE (PHD)

  • 1427 COACHLAMP CT

    COLUMBIA, MO 652031971

    Phone: (573) 586-3204

    Type: Mailing

  • 601 W NIFONG BLVD STE 1B

    COLUMBIA, MO 652036804

    Phone: (573) 586-3204

    Type: Location

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: 2024-10-24

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
I20241024003584IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65203)

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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: 1052843273View full group profile
NameSpecialtyState
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SEAN CLOUSE (PHD)?
NPI 1902428790 is assigned to DR. SEAN CLOUSE (PHD) under the national enumeration system.
Is DR. SEAN CLOUSE (PHD)'s NPI currently valid?
The extract we use shows DR. SEAN CLOUSE (PHD) as active.
Does DR. SEAN CLOUSE (PHD) list a primary specialty?
If you are matching referrals, note Counseling Psychologist for DR. SEAN CLOUSE (PHD). Clinical services aligned with this taxonomy classification.
Where is DR. SEAN CLOUSE (PHD)'s primary listing?
We display Columbia, Missouri because that is what the record indicates for DR. SEAN CLOUSE (PHD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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