Individual provider Active NPI

Holly Krahn, MA, LPC

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1376886770
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC2494 Issued in KS
Practice address
400 N Woodlawn St
Suite 106
Wichita, KS 67208-4338
Phone
(316) 530-1563
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC2494 KS Primary

Addresses

Primary practice location

400 N Woodlawn St
Suite 106
Wichita, KS 67208-4338

Mailing address

5900 E Mainsgate Rd
Apt 705
Wichita, KS 67220-2743
Phone (847) 790-6680

Other names 1

  • Ms. Holly Vanderheyden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC2494KSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1376886770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 E MAINSGATE RD",
            "address_2": "APT 705",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202743",
            "telephone_number": "847-790-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WOODLAWN ST",
            "address_2": "SUITE 106",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084338",
            "telephone_number": "316-530-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHN",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LPC2494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "VANDERHEYDEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former 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 Apr 3, 2013; 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.