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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYANN WIEDERHOLT
NPI 1033034749
Counselor - Mental Health in Lees Summit, MO

Active since August 11, 2026
200 NE MISSOURI RD, LEES SUMMIT, MO 64086(636) 579-0906 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyann Wiederholt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYANN WIEDERHOLT (NPI 1033034749) is an individual mental health provider in Lees Summit, Missouri, licensed in Missouri (2026034217) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1033034749
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYANN WIEDERHOLT
Location Address200 NE MISSOURI RDLees Summit, MO 64086-4722
Mailing Address1200 Se 12th TerLees Summit, MO 64081-2170 · (636) 579-0906
Phone(636) 579-0906
Sole ProprietorYes
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1033034749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · 2026034217
200 NE MISSOURI RD, Lees Summit, MO 64086
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACEY MASON LPC
Counselor (Professional)
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103
MRS. JANNETTE OWEN LCSW
Social Worker
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103
DR. LYDIA KAUME RDN, LD
Dietitian, Registered
200 NE MISSOURI RD
LEES SUMMIT, MO 64086
Jackson County (479) 283-8185
KC PAIN CENTERS, LLC
Pain Medicine (Pain Medicine)
200 NE MISSOURI RD, SUITE 103
LEES SUMMIT, MO 64086
Jackson County (816) 763-1559
MIDWEST PSYCHIATRIC CONSULTANTS, P.C.
Specialist
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103
REED THERAPEUTIC SERVICES LLC
Point of Service
200 NE MISSOURI RD, SUITE 200
LEES SUMMIT, MO 64086
Jackson County (816) 251-4525
MISS SARA ANN OBERLANDER AGACNP-C
Nurse Practitioner
200 NE MISSOURI RD
LEES SUMMIT, MO 64086
Jackson County (816) 282-5370
MR. CHRISTOPHER MOON LPC
Counselor (Professional)
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyann Wiederholt's NPI number?

The NPI number for Tyann Wiederholt is 1033034749. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Tyann Wiederholt located?

Tyann Wiederholt practices at 200 NE Missouri Rd, Lees Summit, MO 64086. The listed phone number is (636) 579-0906.

What is Tyann Wiederholt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tyann Wiederholt was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.