Tyann Wiederholt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2026034217 Issued in MO

Practice address

200 NE Missouri Rd
Lees Summit, MO 64086-4722

Phone

(636) 579-0906

NPI assigned

Aug 11, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1033034749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SE 12TH TER",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812170",
            "telephone_number": "636-579-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "636-579-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDERHOLT",
        "first_name": "TYANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2026034217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whiting & Associates, LLC
• Jerri Lynn Whiting, PH.D.
• Sean Whitmore
• Dane K Wicks, MD
• Amy Wieboldt, LCSW
• Janna Wiele, MSW, LCSW
• Samantha Wiemann
• Patricia A Wike, P.T.
• Gabrielle Wilcox
• Sara H Wilhite, DMD

• Mental Health Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.