Healthcare Provider Details

I. General information

NPI: 1033982491
Provider Name (Legal Business Name): SIDNEY CLAIRE LAMPON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N 159TH ST E STE 101
WICHITA KS
67230-2201
US

IV. Provider business mailing address

1121 N BROADVIEW ST
ANDOVER KS
67002-9789
US

V. Phone/Fax

Practice location:
  • Phone: 316-247-2063
  • Fax:
Mailing address:
  • Phone: 316-247-2063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number04766
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4346
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: