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

Q: 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.

Q: What is Deseri Cunningham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deseri Cunningham was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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Other Providers at the Same Location NPPES 17

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

STEPHANIE J ROBBINS MS, LPC

Counselor (Professional)