Provider Demographics
NPI:1992068993
Name:CHIPPS, ELISABETH (LPC)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:CHIPPS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:JOYCE
Other - Last Name:LYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6155 OAK ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-2240
Mailing Address - Country:US
Mailing Address - Phone:816-333-0606
Mailing Address - Fax:816-523-5418
Practice Address - Street 1:6155 OAK ST
Practice Address - Street 2:SUITE E
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2240
Practice Address - Country:US
Practice Address - Phone:816-333-0606
Practice Address - Fax:816-523-5418
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012019369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional