Provider Demographics
NPI:1932657582
Name:KASPER, SARA (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:KASPER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SE 5TH TER
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4400
Mailing Address - Country:US
Mailing Address - Phone:816-304-8046
Mailing Address - Fax:
Practice Address - Street 1:120 SW 2ND ST
Practice Address - Street 2:SUITE 107B
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2345
Practice Address - Country:US
Practice Address - Phone:816-600-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014032292101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor