GERARD MONDESTIN PHD, MA, LPC
NPI 1710302898
Counselor - Professional in Joplin, MO

Q: What is Gerard Mondestin's NPI number?

The NPI number for Gerard Mondestin is 1710302898. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Q: What is Gerard Mondestin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gerard Mondestin was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 25, 2014PECOS Enrolled

5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804(417) 623-1990(417) 623-9931 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2026, Aug 5, 2025, Jun 10, 2019 (3 updates tracked since 2019).

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About Gerard Mondestin Phd, Ma, Lpc NPPES

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

GERARD MONDESTIN PHD, MA, LPC (NPI 1710302898) is an individual professional provider in Joplin, Missouri, licensed in Missouri (2013043958) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710302898

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameGERARD MONDESTINCredential: PHD, MA, LPC

Location Address5620 W WILDWOOD RANCH PKWYJoplin, MO 64804-4520

Mailing Address900 E Laharpe StKirksville, MO 63501-4520

Phone(417) 623-1990

Fax(417) 623-9931

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 25, 2014

Last NPPES UpdateJune 19, 20263 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1710302898 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 · 2013043958

5620 W WILDWOOD RANCH PKWY, Joplin, MO 64804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerard Mondestin Phd, Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759731151

PECOS Enrollment IDI20250909000575

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.

Other Providers at the Same Location NPPES 10

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

RICHARD LEE ROE MA, LPC

Counselor (Professional)