Provider Demographics
NPI:1396626248
Name:DOERFLER, THERESA (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:DOERFLER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 N MAHAFFIE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6430
Mailing Address - Country:US
Mailing Address - Phone:913-437-7729
Mailing Address - Fax:
Practice Address - Street 1:100 E PARK ST STE 208
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3463
Practice Address - Country:US
Practice Address - Phone:913-437-7729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC05108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional