MEDICARE: JAIME ENGLIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LCPC03624	KS

General Provider Information

NPI Number	:	1124981717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME ENGLIS

Provider Business Mailing Address
First Line	:	11140 WHISPERING LN
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4265
Country	:	US
Telephone Number	:	913-250-8506
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 N 103RD TER
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-5003
Country	:	US
Telephone Number	:	913-250-8506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ JAIME ENGLIS ” Practice Location

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