=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932051745
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTY ANNE YAGER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2026
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 LOCUST ST # K
-----------------------------------------------------
City | LAWRENCE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66044-5442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-979-7937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14522 WISE RD
-----------------------------------------------------
City | SMITHVILLE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64089-8954
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-571-2970
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 05298
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------