Jennifer Cole, PSYD
NPI 1366983694ActiveIndividual· Psychologist, Cognitive & Behavioral· Bolivar, MO
Psychologist, Cognitive & Behavioral (PSYD) with Citizens Memorial Healthcare, practicing in Bolivar, Missouri. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1366983694 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Mar 20, 2017 |
| Last updated in NPPES | Jan 1, 2026 |
| Certified by provider | Jan 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | 2017037305 | MO |
| Psychologist, Clinical | 103TC0700X | 02938 | KS |
| Counselor, Mental Health | 101YM0800X | 2017005257 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Citizens Memorial HealthcareBolivar, MO · 146 clinicians