Healthcare Provider Details

I. General information

NPI: 1881533495
Provider Name (Legal Business Name): NICOLE BINKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 NE BARRY RD STE 110
KANSAS CITY MO
64157-1209
US

IV. Provider business mailing address

7223 W 95TH ST STE 220
OVERLAND PARK KS
66212-6195
US

V. Phone/Fax

Practice location:
  • Phone: 913-229-5691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026003603
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: