Healthcare Provider Details

I. General information

NPI: 1457263022
Provider Name (Legal Business Name): VALTRENDA NICOLE HIPPARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALTRENDA N CESAR LPC

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N MUR LEN RD STE 3
OLATHE KS
66062-5416
US

IV. Provider business mailing address

601 N MUR LEN RD STE 3
OLATHE KS
66062-5416
US

V. Phone/Fax

Practice location:
  • Phone: 813-696-4455
  • Fax:
Mailing address:
  • Phone: 813-696-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number05571
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: