Provider Demographics
NPI:1124195532
Name:KILMER, JANIE LYNN (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:JANIE
Middle Name:LYNN
Last Name:KILMER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5527 HOLMES ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-2725
Mailing Address - Country:US
Mailing Address - Phone:816-523-4240
Mailing Address - Fax:
Practice Address - Street 1:600 SW JEFFERSON ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-3930
Practice Address - Country:US
Practice Address - Phone:816-554-7705
Practice Address - Fax:816-554-7706
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS001176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional