Healthcare Provider Details

I. General information

NPI: 1578290516
Provider Name (Legal Business Name): LAUREN ELIZABETH LYSSY M.A., LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN ELIZABETH MILLER M.A., LCPC, NCC

II. Dates (important events)

Enumeration Date: 08/01/2022
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10551 BARKLEY ST STE 106
OVERLAND PARK KS
66212-1890
US

IV. Provider business mailing address

4828 GIBBS RD
KANSAS CITY KS
66106-2450
US

V. Phone/Fax

Practice location:
  • Phone: 913-713-3913
  • Fax:
Mailing address:
  • Phone: 913-713-3913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC04141
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number04094
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: