Provider Demographics
NPI:1871717355
Name:GIEFER, SHARON K (LPC, LCPC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:GIEFER
Suffix:
Gender:F
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:K
Other - Last Name:GIEFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LCPC
Mailing Address - Street 1:21020 NESS RD
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-8082
Mailing Address - Country:US
Mailing Address - Phone:620-717-3757
Mailing Address - Fax:620-423-0319
Practice Address - Street 1:115 S 18TH ST
Practice Address - Street 2:SUITE 299
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-3365
Practice Address - Country:US
Practice Address - Phone:620-717-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002250101YP2500X
KSLCPC360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO498652700Medicaid
11504856OtherCAQH ID
KS200542860AMedicaid