Provider Demographics
NPI:1942996277
Name:WEST, SCOTT R (JD, MBA, MS, LPC-T)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:R
Last Name:WEST
Suffix:
Gender:M
Credentials:JD, MBA, MS, LPC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10338 ALHAMBRA ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-4018
Mailing Address - Country:US
Mailing Address - Phone:913-375-9739
Mailing Address - Fax:
Practice Address - Street 1:5001 COLLEGE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1618
Practice Address - Country:US
Practice Address - Phone:913-375-9739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04282-T101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health