Individual provider Active NPI

Kimberly Ann Hoetmer, LPC-T

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1306561378
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04134 Issued in KS
Practice address
2501 E. Central Ave
Wichita, KS 67214
Phone
(316) 684-4673
Fax
(316) 684-0937
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04134 KS Primary

Addresses

Primary practice location

2501 E. Central Ave
Wichita, KS 67214

Mailing address

105 N Rainbow Lake Ter
Wichita, KS 67235-8531
Phone (316) 650-4749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 10, 2025 through Nov 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04134KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopenet, Inc. CurrentSince Oct 16, 2022 Accepting new patients

Locations

2501 E Central Ave
Wichita, KS 67214
Phone (316) 684-4673

Organizations & group practices 1

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1306561378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N RAINBOW LAKE TER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358531",
            "telephone_number": "316-650-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E. CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-684-4673",
            "fax_number": "316-684-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOETMER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LPC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.