Provider Demographics
NPI:1619426913
Name:INSPIRED LIVING COUNSELING
Entity Type:Organization
Organization Name:INSPIRED LIVING COUNSELING
Other - Org Name:DEBRA K NIXON
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:MA LCPC
Authorized Official - Phone:913-244-1222
Mailing Address - Street 1:11030 OAKMONT ST
Mailing Address - Street 2:STE 200A
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1100
Mailing Address - Country:US
Mailing Address - Phone:913-815-0522
Mailing Address - Fax:913-233-4933
Practice Address - Street 1:11030 OAKMONT ST
Practice Address - Street 2:STE 200A
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1100
Practice Address - Country:US
Practice Address - Phone:913-815-0522
Practice Address - Fax:913-233-4933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2239101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200546110Medicaid