Provider Demographics
NPI:1437047818
Name:LEWIS-AIELLO, MICHELLE DANAE (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:DANAE
Last Name:LEWIS-AIELLO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15904 W 161ST TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7046
Mailing Address - Country:US
Mailing Address - Phone:913-439-8162
Mailing Address - Fax:
Practice Address - Street 1:15030 S BLACKBOB RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2663
Practice Address - Country:US
Practice Address - Phone:913-439-8162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC05037101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional