Provider Demographics
NPI:1831644376
Name:PERKINS, KATHRYN (LCPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:11020 KING ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1214
Mailing Address - Country:US
Mailing Address - Phone:913-605-6252
Mailing Address - Fax:
Practice Address - Street 1:11020 KING ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1214
Practice Address - Country:US
Practice Address - Phone:913-543-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015017603101YP2500X
KS03215101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional