Provider Demographics
NPI:1750194155
Name:BARNARD-PIEPERGERDES, SHEILA MICHELLE (LMAC 001037)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MICHELLE
Last Name:BARNARD-PIEPERGERDES
Suffix:
Gender:F
Credentials:LMAC 001037
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:MICHELLE
Other - Last Name:BARNARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMAC 001037
Mailing Address - Street 1:4810 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-1748
Mailing Address - Country:US
Mailing Address - Phone:913-283-5672
Mailing Address - Fax:
Practice Address - Street 1:4810 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1748
Practice Address - Country:US
Practice Address - Phone:913-283-5672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1037101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)