Healthcare Provider Details

I. General information

NPI: 1235053745
Provider Name (Legal Business Name): ASHLYNN SMITH LPC-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10881 LOWELL AVE STE 130
OVERLAND PARK KS
66210-1666
US

IV. Provider business mailing address

9530 MISSION RD APT 17
OVERLAND PARK KS
66206-2161
US

V. Phone/Fax

Practice location:
  • Phone: 913-386-6889
  • Fax:
Mailing address:
  • Phone: 620-238-8407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number05504-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: