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JENNIFER COLE PSYD
NPI 1366983694
Psychologist - Cognitive & Behavioral in Bolivar, MO

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
1120 S SPRINGFIELD AVE, BOLIVAR, MO 65613(417) 326-7814(417) 326-4059 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 1, 2026, Aug 6, 2025, Dec 23, 2020 and 5 more (8 updates tracked since 2017).

About Jennifer Cole Psyd NPPES

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

JENNIFER COLE PSYD (NPI 1366983694) is an individual cognitive & behavioral provider in Bolivar, Missouri, licensed in Missouri (2017037305) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366983694
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameJENNIFER COLECredential: PSYD
Location Address1120 S SPRINGFIELD AVEBolivar, MO 65613-2512
Mailing Address1120 S Springfield AveBolivar, MO 65613-2512 · (417) 326-7814 · Fax (417) 326-4059
Phone(417) 326-7814
Fax(417) 326-4059
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateJanuary 1, 20268 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2026
✔ NPI 1366983694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MO · 2017037305
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2017005257 (MO)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 02938 (KS)
1120 S SPRINGFIELD AVE, Bolivar, MO 65613
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Deines Psyd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Jennifer Cole Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072879741
PECOS Enrollment IDI20171113002953
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 Jennifer Cole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Citizens Memorial Healthcare
0.9 mi
Surgery
1500 N OAKLAND AVE
Bolivar, MO 65613
  • Reassigned Medicare billing, Missouri enrollment
  • 249 clinicians in this Medicare group
NPI 1568566131 (417) 326-6000

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

Other Providers at the Same Location NPPES 9

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

COURTNEY MARIE BRUMMEL MSN, FNP-C
Nurse Practitioner (Family)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-7814
HARCHARAN BAINS MD
Psychiatry & Neurology (Psychiatry)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-7814
BOLIVAR MEDICAL CENTER, INC
Clinic/Center (Rural Health)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-4000
CITIZENS MEMORIAL HEALTHCARE
Clinic/Center (Rural Health)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
MARCELEEN K. POWELL APRN, BC, GNP, FNP-C
Nurse Practitioner (Family)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-7814
DR. PAUL STEPHEN STORTZ MD
Family Medicine
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-7814
BOGUSLAW GLUSZAK M.D.
Psychiatry & Neurology (Psychiatry)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-7814
KENDRA VLIEGER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1120 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Polk County (417) 326-7814

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 Jennifer Cole's NPI number?

The NPI number for Jennifer Cole is 1366983694. It was assigned to this individual provider in the NPPES registry on March 20, 2017. The provider is also known as Jennifer Deines Psyd.

Where is Jennifer Cole located?

Jennifer Cole practices at 1120 S Springfield Ave, Bolivar, MO 65613. The listed phone number is (417) 326-7814.

What is Jennifer Cole's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jennifer Cole enrolled in Medicare?

Yes. Jennifer Cole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Cole reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, 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 Jennifer Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Cole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Jennifer Cole 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 Jennifer Cole was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.