1. Home
  2. Directory
  3. Missouri
  4. Springfield
  5. Psychologist
  6. NPI Profile

DESERI ALICIA CUNNINGHAM PSYD, LP
NPI 1356757900
Psychologist - Clinical in Springfield, MO

Active since July 03, 2014PECOS Enrolled
1350 E BRADFORD PKWY, SPRINGFIELD, MO 65804(417) 761-5850 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Mar 22, 2019, May 22, 2018 (3 updates tracked since 2018).

About Deseri Alicia Cunningham Psyd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERI ALICIA CUNNINGHAM PSYD, LP (NPI 1356757900) is an individual clinical provider in Springfield, Missouri, licensed in Missouri (2016035950) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356757900
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDESERI ALICIA CUNNINGHAMCredential: PSYD, LP
Location Address1350 E BRADFORD PKWYSpringfield, MO 65804-4376
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5011
Phone(417) 761-5850
Sole ProprietorNo
Enumeration DateJuly 3, 2014
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1356757900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · 2016035950
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2014022296 (MO)
1350 E BRADFORD PKWY, Springfield, MO 65804
Open in Google Maps ↗

Other Names 1

Former Name (1)Deseri Alicia Johnson

Other Identifiers 1

Medicaid490014993MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deseri Alicia Cunningham Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Deseri Cunningham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Burrell, Inc.
0.1 mi
Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group
NPI 1275541740 (417) 761-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE J ROBBINS MS, LPC
Counselor (Professional)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5850
ROBERTA D CELAYA PHD, LP
Psychologist (Clinical)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
DR. DALE A HALFAKER PHD, LP
Psychologist (Clinical)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
DR. DEVIN RENEE SHELTON PSYD, LP
Psychologist (Clinical)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5850
DR. JORDAN A COLEMAN PSYD, LP
Psychologist (Clinical)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5850
SAVANNAH J BROWN PHD, LP
Psychologist (Forensic)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
JESSICA M ELLIS-HALL PSYD, PLP
Psychologist (Clinical)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
LORI A LAWRENZ PSYD, LP
Psychologist (Clinical)
1350 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deseri Cunningham's NPI number?

The NPI number for Deseri Cunningham is 1356757900. It was assigned to this individual provider in the NPPES registry on July 3, 2014. The provider is also known as Deseri Alicia Johnson.

Where is Deseri Cunningham located?

Deseri Cunningham practices at 1350 E Bradford Pkwy, Springfield, MO 65804. The listed phone number is (417) 761-5850.

What is Deseri Cunningham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Deseri Cunningham enrolled in Medicare?

Yes. Deseri Cunningham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deseri Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deseri Cunningham reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deseri Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deseri Cunningham accept?

Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica, Oscar Insurance Company and UnitedHealthcare list Deseri Cunningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deseri Cunningham was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.