Healthcare Provider Details

I. General information

NPI: 1194632307
Provider Name (Legal Business Name): ARIELL NIERENBERG LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SE 25TH ST
TOPEKA KS
66605-1734
US

IV. Provider business mailing address

235 NE LIME ST
TOPEKA KS
66616-1126
US

V. Phone/Fax

Practice location:
  • Phone: 785-267-0561
  • Fax: 785-267-0573
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number02065
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: