Provider Demographics
NPI:1205718616
Name:HESS, AMELIA (LCPC)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:HESS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 W 94TH TER STE 200
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2536
Mailing Address - Country:US
Mailing Address - Phone:913-399-6836
Mailing Address - Fax:913-677-2112
Practice Address - Street 1:5300 W 94TH TER STE 200
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-2536
Practice Address - Country:US
Practice Address - Phone:913-399-6836
Practice Address - Fax:913-677-2112
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04058101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health