Mandy L Wilde-Price, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

268 Issued in KS

Practice address

11011 King St
Suite 230
Overland Park, KS 66210-1287

Phone

(913) 451-1377

Fax

(913) 768-0150

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073671947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16113 W 145TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622549",
            "telephone_number": "913-530-2089",
            "fax_number": "913-768-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 KING ST",
            "address_2": "SUITE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101287",
            "telephone_number": "913-451-1377",
            "fax_number": "913-768-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE-PRICE",
        "first_name": "MANDY",
        "middle_name": "L",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "268",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001022601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Wigle
• Jaclyn Jo Wilburn, LMSW
• Rachel Eilzabeth Wilcher
• Samuel James Wilcox, PA-C
• Donald B. Wilcoxon, D.D.S., M.S.
• Garrett Leo Wilder, DC
• Sara Wile, MA, NCC, LPC
• Valerie Lynn Wilen, CRNA
• Ashley Rae Wiles, MSN, FNP-C
• Mallory Wilhite, OTR/L

• Professional Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.