Individual provider Active NPI

Helen Christina Grzeskiewicz, LCP

  • Psychologist
  • Wichita, KS
National Provider Identifier
1265740088
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1497 Issued in KS
Practice address
2420 N Woodlawn Blvd
BLDG 300
Wichita, KS 67220-3960
Phone
(316) 347-7157
Fax
(316) 247-9528
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1497 KS Primary

Addresses

Primary practice location

2420 N Woodlawn Blvd
BLDG 300
Wichita, KS 67220-3960

Mailing address

2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960
Phone (316) 347-7157

Other names 1

  • Tina Grzeskiewicz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227000228 KS Practitioner - Psychologist Billing Independently 7719310275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
East Carolina University School of Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Air Capital Counseling and Assessment LLCGroup PAC ID 7012440324, 6 clinicians

Practice addresses (Care Compare)

2420 N Woodlawn Blvd
BLDG 300
Wichita, KS 67220-3960
Phone (316) 347-7157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1497KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Air Capital Counseling & Assessment, LLC Psychologist CurrentSince Jan 1, 2020 Accepting new patients
Affiliated Family Counselors LLC PastSince Nov 1, 2014 Accepting new patients

Locations

1029 N Rose Hill Rd
Ste B
Rose Hill, KS 67133
Phone (316) 737-0728

2420 N Woodlawn Blvd
Ste 300
Wichita, KS 67220
Phone (316) 347-7157

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1265740088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N WOODLAWN BLVD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203960",
            "telephone_number": "316-347-7157",
            "fax_number": "316-247-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N WOODLAWN BLVD",
            "address_2": "BLDG 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203960",
            "telephone_number": "316-347-7157",
            "fax_number": "316-247-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZESKIEWICZ",
        "first_name": "HELEN",
        "middle_name": "CHRISTINA",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "GRZESKIEWICZ",
            "credential": "LCP, LCAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.