Provider Demographics
NPI:1184035081
Name:ASPIRE PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:ASPIRE PSYCHOTHERAPY SERVICES
Other - Org Name:WENDY BAIR-LOEHR, LSCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH CARE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAIR-LOEHR
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-438-8811
Mailing Address - Street 1:3111 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2515
Mailing Address - Country:US
Mailing Address - Phone:785-438-8811
Mailing Address - Fax:
Practice Address - Street 1:2945 SW WANAMAKER DR
Practice Address - Street 2:SUITE H
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5334
Practice Address - Country:US
Practice Address - Phone:785-438-8811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200302680BMedicaid
KS200302680BMedicaid