MEDICARE: VANIDEE STOLLENWERK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1013424043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANIDEE STOLLENWERK LPC

Provider Business Mailing Address
First Line	:	8151 N DENVER AVE APT 3245
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-1076
Country	:	US
Telephone Number	:	816-286-0355
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 NW TIFFANY SPRINGS PKWY STE 320
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-1387
Country	:	US
Telephone Number	:	816-500-1355
Fax Number	:	816-569-6797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2017
Last Update Date	:	02/23/2025

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