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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENDRA NICHOLSON
NPI 1407775331
Counselor - Professional in Springfield, MO

Active since July 14, 2026
1717 E REPUBLIC RD STE D, SPRINGFIELD, MO 65804(417) 351-4282(844) 683-2342 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kendra Nicholson NPPES

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

KENDRA NICHOLSON (NPI 1407775331) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2026021915) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1407775331
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENDRA NICHOLSON
Location Address1717 E REPUBLIC RD STE DSpringfield, MO 65804-6588
Mailing Address1717 E Republic Rd Ste DSpringfield, MO 65804-6588 · (417) 351-4282 · Fax (844) 683-2342
Phone(417) 351-4282
Fax(844) 683-2342
Sole ProprietorNo
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1407775331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2026021915
1717 E REPUBLIC RD STE D, Springfield, MO 65804
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Other Providers at the Same Location NPPES 12

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

KATHRYN LOETHEN
Social Worker
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
MOLLY SWANN
Counselor (Professional)
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
RILEY ELISE GRINNELL
Counselor (Professional)
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
MACKENZIE EIBERT
Counselor (Professional)
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
PAIGE TUCK LPC
Counselor (Mental Health)
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
KRISTIN ELIZABETH GEARHART
Counselor
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
JANA YANCEY EMORY
Counselor (Professional)
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282
JADE COATNEY LCSW
Social Worker (Clinical)
1717 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 351-4282

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 Kendra Nicholson's NPI number?

The NPI number for Kendra Nicholson is 1407775331. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Where is Kendra Nicholson located?

Kendra Nicholson practices at 1717 E Republic Rd Ste D, Springfield, MO 65804. The listed phone number is (417) 351-4282.

What is Kendra Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kendra Nicholson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.