Provider Demographics
NPI:1134772478
Name:MCGINNIS, SARA PAIGE (LPC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:PAIGE
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7708 QUAIL RDG
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4394
Mailing Address - Country:US
Mailing Address - Phone:816-830-6858
Mailing Address - Fax:
Practice Address - Street 1:7505 NW TIFFANY SPRINGS PKWY STE 500
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1313
Practice Address - Country:US
Practice Address - Phone:816-399-4204
Practice Address - Fax:816-841-4804
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014041549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional