NPIMap

Organization Active NPI

Kidstlc, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lenexa, KS
National Provider Identifier
1104768126
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KIDSTLC, INC
Practice address
15940 College Blvd
Lenexa, KS 66219-1305
Phone
(913) 324-3823
Fax
(913) 768-1437
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Madelin Jordan Fink
Title
Manager of Intake and Admissions
Phone
(913) 764-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15940 College Blvd
Lenexa, KS 66219-1305

Mailing address

480 S Rogers Rd
Olathe, KS 66062-1706
Phone (913) 324-3856

National Provider Directory

National Provider Directory
Tax ID family
Kidstlc Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15940 College Blvd
Lenexa, KS 66219
Phone (913) 324-3823

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1104768126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S ROGERS RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621706",
            "telephone_number": "913-324-3856",
            "fax_number": "913-768-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15940 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191305",
            "telephone_number": "913-324-3823",
            "fax_number": "913-768-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSTLC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "MADELIN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "MANAGER OF INTAKE AND ADMISSIONS",
        "authorized_official_telephone_number": "913-764-2887"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.