Provider Demographics
NPI:1497013221
Name:PIERCE, RICHARD (LCPC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:PIERCE
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 W COTHRELL ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2443
Mailing Address - Country:US
Mailing Address - Phone:913-708-1588
Mailing Address - Fax:
Practice Address - Street 1:6804 W 107TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1828
Practice Address - Country:US
Practice Address - Phone:913-210-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2309101YP2500X
KS2472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional