Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Elton Michael Priddy, LCPC

Individual provider Professional Counselor · NPI 1366587016

Mr. Elton Michael Priddy, LCPC is a Professional Counselor in Shawnee, Kansas. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

12400 W 62nd Ter Ste G
Shawnee, KS 66216-1833
Phone: (913) 449-3696
Fax: (913) 548-4816
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 229 (KS)
Professional Counselor Taxonomy 101YP2500X · Licence 2002008095 (MO)

Record details

NPI number1366587016
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESApril 28, 2010

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