MEDICARE: TARISHA STARKS LPC

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	101YM0800X	Mental Health Counselor	2021035029	MO

General Provider Information

NPI Number	:	1881365120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARISHA STARKS LPC

Provider Business Mailing Address
First Line	:	1112 CLEVELAND AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-1539
Country	:	US
Telephone Number	:	816-217-9432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 NW BRIARCLIFF PKWY STE 228
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1905
Country	:	US
Telephone Number	:	913-585-4408
Fax Number	:

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

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	03/13/2026

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Directions to “ TARISHA STARKS LPC” Practice Location

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