Active NPI
Tiffany Kelderhouse, MA, LPC
- Professional Counselor
- Wichita, KS
National Provider Identifier
1588983969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2365
- Practice address
- 6525 E Mainsgate Rd
Wichita, KS 67226-1062 - Phone
- (316) 530-2868
- NPI assigned
- May 24, 2010
- Last updated
- Feb 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2365 | KS | Primary |
Addresses
Primary practice location
6525 E Mainsgate Rd
Wichita, KS 67226-1062
Mailing address
2908 N Woodridge CT
Wichita, KS 67226-6403
Phone (316) 371-3252
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2365 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1588983969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 N WOODRIDGE CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672266403",
"telephone_number": "316-371-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 E MAINSGATE RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261062",
"telephone_number": "316-530-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELDERHOUSE",
"first_name": "TIFFANY",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.