Healthcare Provider Details

I. General information

NPI: 1598670580
Provider Name (Legal Business Name): NICOLE ALEJANDRA BARTEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 W 4TH ST
HOLTON KS
66436-1153
US

IV. Provider business mailing address

419 KANSAS AVE
HOLTON KS
66436-1542
US

V. Phone/Fax

Practice location:
  • Phone: 785-364-3205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05296
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: