Provider Demographics
NPI:1265989032
Name:JANVIER, KELSEY LEA (LPC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:LEA
Last Name:JANVIER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:LEA
Other - Last Name:MASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 E 104TH STREET
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-502-7117
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:10918 ELM AVE STE 102
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134
Practice Address - Country:US
Practice Address - Phone:816-765-6600
Practice Address - Fax:816-767-4107
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016031790101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor