Jessica Tryon-Koehler

Individual provider Active NPI Mental Health Counselor · Cherryvale, KS

NPI 1386589778 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1386589778
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LPC05363 (KS)
Practice address
5693 CR 5700
Cherryvale, KS 67335-5706
Phone
(785) 562-8524
NPI assigned
Apr 21, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC05363KSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC05363 KS Yes

Addresses

Primary practice location

5693 CR 5700
Cherryvale, KS 67335-5706

Mailing address

5693 CR 5700
Cherryvale, KS 67335-5706

Other providers in Cherryvale, KS

All providers in Cherryvale, KS · Mental Health Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.