Healthcare Provider Details

I. General information

NPI: 1437588480
Provider Name (Legal Business Name): TINA VAN METER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2013
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 101
HERINGTON KS
67449-0101
US

IV. Provider business mailing address

PO BOX 101
HERINGTON KS
67449-0101
US

V. Phone/Fax

Practice location:
  • Phone: 913-353-6067
  • Fax: 785-504-9344
Mailing address:
  • Phone: 785-268-2038
  • Fax: 620-487-2284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number03205
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2023017555
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2023017555
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number03205
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61299929
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: