Provider Demographics
NPI:1790027084
Name:KARI D. VITOSH, LCPC, NCC, LLC
Entity Type:Organization
Organization Name:KARI D. VITOSH, LCPC, NCC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:D
Authorized Official - Last Name:QUIRING
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC
Authorized Official - Phone:316-247-0503
Mailing Address - Street 1:8100 E 22ND ST N
Mailing Address - Street 2:BLDG 2200, STE 3
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226
Mailing Address - Country:US
Mailing Address - Phone:316-247-0503
Mailing Address - Fax:316-796-5100
Practice Address - Street 1:8100 E 22ND ST N
Practice Address - Street 2:BLDG 2200, STE 3
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226
Practice Address - Country:US
Practice Address - Phone:316-247-0503
Practice Address - Fax:316-796-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200551580BMedicaid