MEDICARE: JAIME LYN HART LCPC

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	101YM0800X	Mental Health Counselor	CTB-2026-0264	NM
2	101YM0800X	Mental Health Counselor	TEL1079	LA
3	101YP2500X	Professional Counselor	6166	SC
4	101YP2500X	Professional Counselor	03368	KS

General Provider Information

NPI Number	:	1326619834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME LYN HART LCPC

Provider Business Mailing Address
First Line	:	664 S LIGHTNER DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-2734
Country	:	US
Telephone Number	:	224-651-7757
Fax Number	:

Provider Business Practice Location Address
First Line	:	664 S LIGHTNER DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-2734
Country	:	US
Telephone Number	:	224-651-7757
Fax Number	:

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

Provider Enumeration Date	:	07/06/2021
Last Update Date	:	04/13/2026

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