Active NPI
Prairie Roots Counseling, LLC
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1699637462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PRAIRIE ROOTS COUNSELING, LLC
- Practice address
- 3620 Meadow LN
Wichita, KS 67218-4028 - Phone
- (316) 282-5787
- NPI assigned
- Dec 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Ann Peltzer, LMSW, THERAPIST
- Title
- Owner / Managing Member
- Phone
- (316) 282-5787
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3620 Meadow LN
Wichita, KS 67218-4028
Mailing address
3620 Meadow LN
Wichita, KS 67218-4028
Phone (316) 282-5787
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Wichita, KS
- NPI 1912704065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1699637462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 MEADOW LN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672184028",
"telephone_number": "316-282-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 MEADOW LN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672184028",
"telephone_number": "316-282-5787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE ROOTS COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "PELTZER",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
"authorized_official_telephone_number": "316-282-5787",
"authorized_official_credential": "LMSW, THERAPIST"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Dec 2, 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.