Jacob Fantin, PLP
Clinical Psychologist · Monett, MO
Jacob Fantin, PLP is a clinical psychologist with a practice address in Monett, Missouri, and NPI 1538883459, issued on Oct 4, 2022. Check the license (Missouri 2022038992, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Fantin
- Credential
- PLP
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 2022038992 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1701 N Central Ave, Monett, MO 65708
- Phone
- (417) 476-1000
- Enumerated
- Oct 4, 2022
- Record last updated
- Oct 4, 2022
- Fax
- (417) 476-1082
- Medicare enrollment
- Enrolled (PECOS I20231220003813); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 911 in Missouri → Look up another NPI →
Also registered at 1701 N Central Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jacob Fantin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2022038992Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Clark Community Mental Health CenterMonett, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Fantin among 911 clinical psychologist records in Missouri
Jacob Fantin, PLP is one of 911 clinical psychologist records with a practice address in Missouri. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 91% of them.
- NPI issued2022 · 91% of these records are older, 7% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated2022 · median 2007 among the 214 with a school on file
- Record last updated2022 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 clinical psychologist records list a practice address in Monett
They are 4 of the 178 NPPES records with a practice address in Monett, and 911 clinical psychologist records in Missouri.
All 911 in Missouri → Every provider in Monett → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Matt Costley, PSY.D.Monett, MO 657081629225685
- Matthew Dzak, PSYD, HSPPMonett, MO 657081841544681
- Jennifer Webb, PLPMonett, MO 657081386369973
- Stacy BarhamMansfield, MO 657041821374935
- Loretta Fuge, PSY.D.Mansfield, MO 657041053425769
- Jayme Smith, PSY.D.Mansfield, MO 657041578743696
- Bryce GrayNixa, MO 657141588941355
- Alise Gray, PSY.D,Nixa, MO 657141477994044
Common questions
What is Jacob Fantin, PLP's NPI number?
Jacob Fantin, PLP's National Provider Identifier (NPI) is 1538883459, issued on Oct 4, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Fantin, PLP located?
The NPPES record lists a practice address at 1701 N Central Ave, Monett, MO, 65708. Phone: (417) 476-1000. Providers update this record themselves, so call before visiting.
How can I verify Jacob Fantin, PLP's license?
NPPES lists Missouri license number 2022038992, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.