Healthcare Provider Details

I. General information

NPI: 1316528821
Provider Name (Legal Business Name): HEATHER LYNN BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 S ROGERS RD
OLATHE KS
66062-1706
US

IV. Provider business mailing address

6000 LAMAR AVE STE 130
MISSION KS
66202
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-2887
  • Fax: 913-768-1437
Mailing address:
  • Phone: 913-826-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number03739
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number03933
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: