Healthcare Provider Details

I. General information

NPI: 1962369868
Provider Name (Legal Business Name): LYNETTE M PFINGSTEN LPC, LSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21901 S VICTORY RD
SPRING HILL KS
66083-9660
US

IV. Provider business mailing address

16460 GRETNA ST UNIT 1106
GARDNER KS
66030-7863
US

V. Phone/Fax

Practice location:
  • Phone: 913-357-5381
  • Fax:
Mailing address:
  • Phone: 913-645-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number05035
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: