Provider Demographics
NPI:1578081170
Name:SANGER, JENNIFER ANN (LCPC, LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:SANGER
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:SAMAYOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:13839 S MUR LEN RD STE H
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1662
Mailing Address - Country:US
Mailing Address - Phone:913-717-8551
Mailing Address - Fax:
Practice Address - Street 1:13839 S MUR LEN RD STE H
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1662
Practice Address - Country:US
Practice Address - Phone:913-717-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-02
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021040835101Y00000X
KS2424101Y00000X
KS3169101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor