Provider Demographics
NPI:1245061795
Name:KOHOUT, KARLA (LPC)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:KOHOUT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14670 W 144TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-9765
Mailing Address - Country:US
Mailing Address - Phone:949-456-4942
Mailing Address - Fax:
Practice Address - Street 1:4701 COLLEGE BLVD STE 209
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1934
Practice Address - Country:US
Practice Address - Phone:913-735-4413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC04777101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional