JOHN RICHARD SPOONER PSY.D.
NPI 1750351409
Psychologist - Clinical in Bolivar, MO
About John Richard Spooner Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN RICHARD SPOONER PSY.D. (NPI 1750351409) is an individual clinical provider in Bolivar, Missouri, licensed in Missouri (2006034106) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted 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
John Richard Spooner Psy.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Spooner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
Joplin, MO 64804
- Reassigned Medicare billing, Missouri enrollment
- 15 clinicians in this Medicare group
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 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Spooner's NPI number?
The NPI number for John Spooner is 1750351409. It was assigned to this individual provider in the NPPES registry on January 25, 2006.
Where is John Spooner located?
John Spooner practices at 2085 S Boston Pl, Bolivar, MO 65613. The listed phone number is (417) 326-2418.
What is John Spooner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Spooner enrolled in Medicare?
Yes. John Spooner 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 organizations bill Medicare for John Spooner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Spooner reassigns Medicare benefits to 2 organizations: Good-Nous Family Counseling Center, LLC (Bolivar, MO) and Counseling Associates Of The Four States, LLC (Joplin, MO). Each 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 John Spooner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Spooner 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 John Spooner 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 John Spooner was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# John Richard Spooner, PSY.D. · NPI 1750351409
Clinical provider in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1750351409 (Entity type: Individual)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 2006034106 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2085 S BOSTON PL, Bolivar, MO 65613-2871
- **Phone:** (417) 326-2418 · **Fax:** (417) 326-2419
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Good-Nous Family Counseling Center, LLC (NPI 1447590104, Bolivar, MO); Counseling Associates Of The Four States, LLC (NPI 1023255106, Joplin, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 18, 2013
- **Other identifiers:** Other 193564 (MO); Medicaid 495966319 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1750351409) · Data from the CMS NPPES public registry.