Provider Demographics
NPI:1205712445
Name:SLIPKE, RAELYNN (T-MFT)
Entity type:Individual
Prefix:
First Name:RAELYNN
Middle Name:
Last Name:SLIPKE
Suffix:
Gender:F
Credentials:T-MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 COLLEGE BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1608
Mailing Address - Country:US
Mailing Address - Phone:913-730-0502
Mailing Address - Fax:
Practice Address - Street 1:4701 COLLEGE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1608
Practice Address - Country:US
Practice Address - Phone:913-730-0502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03740106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist