Provider Demographics
NPI:1699817718
Name:WHITING & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:WHITING & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-554-7750
Mailing Address - Street 1:618 SE 4TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2908
Mailing Address - Country:US
Mailing Address - Phone:816-554-7750
Mailing Address - Fax:816-554-7866
Practice Address - Street 1:618 SE 4TH ST STE 106
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2908
Practice Address - Country:US
Practice Address - Phone:816-554-7750
Practice Address - Fax:816-554-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1806103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN26992011OtherBCBS GROUP NUMBER
MOL900000Medicare ID - Type UnspecifiedGROUP NUMBER