MEDICARE: HEATHER LYNN BAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	03933	KS
2	101Y00000X	Counselor	03739	KS

General Provider Information

NPI Number	:	1316528821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LYNN BAKER

Provider Business Mailing Address
First Line	:	6000 LAMAR AVE
Second Line	:	STE 130
City	:	MISSION
State	:	KS
Zip	:	66202
Country	:	US
Telephone Number	:	913-826-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 S ROGERS RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1706
Country	:	US
Telephone Number	:	913-764-2887
Fax Number	:	913-768-1437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	12/12/2025

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Directions to “ HEATHER LYNN BAKER ” Practice Location

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