Healthcare Provider Details

I. General information

NPI: 1891620084
Provider Name (Legal Business Name): ARIEL GARRETT ED.S, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S 5TH ST STE 22
LEAVENWORTH KS
66048-2602
US

IV. Provider business mailing address

1451 NW 38TH ST APT 307
KANSAS CITY MO
64116-4557
US

V. Phone/Fax

Practice location:
  • Phone: 913-565-2131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05342
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: