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KELLEY WIEDERHOLD LPC-ASSOCIATE
NPI 1417763384
Counselor - Mental Health in Bryan, TX

Active since December 05, 2024
1401 SANDIA PLZ, BRYAN, TX 77802(432) 940-9653 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Wiederhold Lpc-associate NPPES

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

KELLEY WIEDERHOLD LPC-ASSOCIATE (NPI 1417763384) is an individual mental health provider in Bryan, Texas, licensed in Texas (94350) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1417763384
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLEY WIEDERHOLDCredential: LPC-ASSOCIATE
Location Address1401 SANDIA PLZBryan, TX 77802-4356
Mailing Address1401 Sandia PlzBryan, TX 77802-4356 · (432) 940-9653
Phone(432) 940-9653
Sole ProprietorNo
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1417763384 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 TX · 94350
1401 SANDIA PLZ, Bryan, TX 77802
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Other Providers at the Same Location NPPES 19

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

CRA PROFESSIONAL COUNSELING SERVICES
Counselor (Professional)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (903) 388-6781
COTTONWOOD CREEK COUNSELING
Counselor (Mental Health)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (979) 587-6245
LISSETTE PALACIOS MA, LPC
Counselor (Professional)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (979) 217-1378
MRS. ANNA KATHERINE SHINE MA, LPC-A
Counselor (Professional)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (281) 782-7871
AMANDA PASLEY GRAY LPC
Counselor (Professional)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (512) 650-9252
MORGAN HATFIELD LPC-A
Counselor (Mental Health)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (713) 364-5001
SHELLI PEEVEY
Contractor
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (512) 650-9252
GISELA LIN COUNSELING AND CONSULTATION SERVICES PLLC
Psychologist (Counseling)
1401 SANDIA PLZ
BRYAN, TX 77802
Brazos County (979) 314-9698

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 Kelley Wiederhold's NPI number?

The NPI number for Kelley Wiederhold is 1417763384. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Kelley Wiederhold located?

Kelley Wiederhold practices at 1401 Sandia Plz, Bryan, TX 77802. The listed phone number is (432) 940-9653.

What is Kelley Wiederhold'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 Kelley Wiederhold was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.