Healthcare Provider Details

I. General information

NPI: 1447186598
Provider Name (Legal Business Name): PRAIRIE TRAILS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 COLLEGE BLVD STE 207
LEAWOOD KS
66211-1923
US

IV. Provider business mailing address

5401 COLLEGE BLVD STE 207
LEAWOOD KS
66211-1923
US

V. Phone/Fax

Practice location:
  • Phone: 913-292-4800
  • Fax: 913-498-9639
Mailing address:
  • Phone: 913-292-4800
  • Fax: 913-498-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATELYN KELLIE FRITS
Title or Position: CLINICIAN/OWNER
Credential: LCPC, LPC, NCC
Phone: 913-292-4800