Provider Demographics
NPI:1528949948
Name:CHIPMAN, TAYLOR (LPC, NCC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:CHIPMAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12801 RICKEY RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-6955
Mailing Address - Country:US
Mailing Address - Phone:316-393-1856
Mailing Address - Fax:
Practice Address - Street 1:5401 COLLEGE BLVD STE 206
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1662
Practice Address - Country:US
Practice Address - Phone:913-390-3135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional