Healthcare Provider Details

I. General information

NPI: 1689528143
Provider Name (Legal Business Name): CONNECT COUNSELING & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 N 99TH ST
KANSAS CITY KS
66109
US

IV. Provider business mailing address

17600 157TH ST
BASEHOR KS
66007-7377
US

V. Phone/Fax

Practice location:
  • Phone: 913-712-9257
  • Fax:
Mailing address:
  • Phone: 913-712-9257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GARTH FISCHER
Title or Position: OWNER
Credential: LCPC
Phone: 913-712-9257