Provider Demographics
NPI:1033937024
Name:WHELAN, SARA T (LCPC, LPC)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:T
Last Name:WHELAN
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10408 MOHAWK LN
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2551
Mailing Address - Country:US
Mailing Address - Phone:512-217-0740
Mailing Address - Fax:
Practice Address - Street 1:5401 COLLEGE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1634
Practice Address - Country:US
Practice Address - Phone:913-295-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
KS03659101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional