Healthcare Provider Details

I. General information

NPI: 1881501633
Provider Name (Legal Business Name): SARA WILE MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8575 W 110TH ST STE 110
OVERLAND PARK KS
66210-2606
US

IV. Provider business mailing address

4601 E DOUGLAS AVE STE 150
WICHITA KS
67218-1011
US

V. Phone/Fax

Practice location:
  • Phone: 913-380-9910
  • Fax:
Mailing address:
  • Phone: 913-380-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05512
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: