Individual provider Active NPI

Jessica Anne Neiderhiser, LPC, T-LPC

  • Mental Health Counselor
  • Olathe, KS
National Provider Identifier
1487473336
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
04753-T Issued in KS
Practice address
1707 E Cedar St
Olathe, KS 66062-1892
Phone
(913) 677-3178
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 04894 KS
Mental Health Counselor 101YM0800X 04753-T KS Primary

Addresses

Primary practice location

1707 E Cedar St
Olathe, KS 66062-1892

Mailing address

11310 Myrtle Ave
Kansas City, MO 64137-2342
Phone (816) 255-7491

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

State licenses

LicenseStateTypeSpecialty
04753-TKSMDMental Health Counselor
04894KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA PastSince Oct 1, 2024 Accepting new patients

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1487473336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 MYRTLE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641372342",
            "telephone_number": "816-255-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E CEDAR ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621892",
            "telephone_number": "913-677-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERHISER",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPC, T-LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "04894",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "04753-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.