Organization Active NPI

Prairie Roots Counseling, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1699637462
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Kristen Ann Peltzer, LMSW, THERAPISTNPI 1912704065
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.