Provider Demographics
NPI:1649884180
Name:BIRKES, KELSEY CARLISLE
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:CARLISLE
Last Name:BIRKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:CARLISLE
Other - Last Name:NEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:7006 W 73RD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2062
Mailing Address - Country:US
Mailing Address - Phone:918-346-2416
Mailing Address - Fax:
Practice Address - Street 1:9718 ROSEHILL RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-1414
Practice Address - Country:US
Practice Address - Phone:816-508-5360
Practice Address - Fax:913-730-7580
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3662101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health