MR. PATRICK A TETRICK MS, LPC
NPI 1861823619
Counselor - Professional in Springfield, MO
About Mr. Patrick A Tetrick Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PATRICK A TETRICK MS, LPC (NPI 1861823619) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2013042527) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Patrick A Tetrick Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patrick Tetrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 590 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.
Other Providers at the Same Location NPPES 20
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 Patrick Tetrick's NPI number?
The NPI number for Patrick Tetrick is 1861823619. It was assigned to this individual provider in the NPPES registry on December 4, 2013.
Where is Patrick Tetrick located?
Patrick Tetrick practices at 630 W Kearney St, Springfield, MO 65803. The listed phone number is (417) 761-5900.
What is Patrick Tetrick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Patrick Tetrick enrolled in Medicare?
Yes. Patrick Tetrick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patrick Tetrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Tetrick reassigns Medicare benefits to Burrell, Inc. (Springfield, 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 Patrick Tetrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Tetrick accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Patrick Tetrick 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 Patrick Tetrick was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.
# Mr. Patrick A Tetrick, MS, LPC · NPI 1861823619
Professional provider in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since December 4, 2013.
## Identity
- **NPI:** 1861823619 (Entity type: Individual)
- **Enumerated:** December 4, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2013042527 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 630 W KEARNEY ST, Springfield, MO 65803-2508
- **Phone:** (417) 761-5900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Burrell, Inc. (NPI 1275541740, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861823619) · Data from the CMS NPPES public registry.