Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gerard Mondestin, PHD, MA, LPC

Individual provider Professional Counselor · NPI 1710302898

Gerard Mondestin, PHD, MA, LPC is a Mental Health Counselor in Joplin, Missouri. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5620 W Wildwood Ranch Pkwy
Joplin, MO 64804-4520
Phone: (417) 623-1990
Fax: (417) 623-9931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2013043958 (MO)

Record details

NPI number1710302898
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , MA , LPC
Sole proprietorYes
NPI enumeratedFebruary 25, 2014
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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