Lara M Wisdom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3527 Issued in KS

Practice address

11900 W 87TH Street Pkwy Ste 130
Lenexa, KS 66215-4517

Phone

(615) 571-3982

NPI assigned

Mar 12, 2020

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hannibal Regional Healthcare System Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1003956095

  Single Specialty

  NPD
• Hannibal Regional Healthcare System, Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1134311392

  Single Specialty

  NPD
• Hannibal Regional Healthcare System, Inc

  • Multi-Specialty Clinic/Center
  • Kirksville, MO
  • NPI 1447789300
  NPD

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1184250979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8818 GOLDEN LN",
            "city": "DE SOTO",
            "state": "KS",
            "postal_code": "660187501",
            "telephone_number": "615-571-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W 87TH STREET PKWY STE 130",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154517",
            "telephone_number": "615-571-3982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E. Normal St.",
            "address_2": "McKinney Building",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "660-785-4182",
            "fax_number": "660-785-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8818 Golden Ln",
            "address_purpose": "LOCATION",
            "city": "DE Soto",
            "state": "KS",
            "postal_code": "660187501",
            "country_code": "US",
            "telephone_number": "615-571-3982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "LARA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020037121",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Windes
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• Courtney Rae Winslow, LMSW
• Chad Winters, D.O.
• WMK Enterprises LLC
• Mary Wolarik
• Wolverton Family Chiropractic LLC.
• Woodland Chiropractic and Wellness LLC
• Tesia Woods-Nichols

• Mental Health Counselor in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.