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LARA M WISDOM
NPI 1184250979
Counselor - Mental Health in Lenexa, KS

Active since March 12, 2020PECOS Enrolled
11900 W 87TH STREET PKWY STE 130, LENEXA, KS 66215(615) 571-3982 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jul 18, 2023, Apr 18, 2022 and 1 more (4 updates tracked since 2020).

About Lara M Wisdom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA M WISDOM (NPI 1184250979) is an individual mental health provider in Lenexa, Kansas, licensed in Kansas (3527) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184250979
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARA M WISDOM
Location Address11900 W 87TH STREET PKWY STE 130Lenexa, KS 66215-4517
Mailing Address8818 Golden LnDe Soto, KS 66018-7501 · (615) 571-3982
Phone(615) 571-3982
Sole ProprietorYes
Enumeration DateMarch 12, 2020
Last NPPES UpdateApril 9, 20244 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1184250979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KS · 3527
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2020037121 (MO)
11900 W 87TH STREET PKWY STE 130, Lenexa, KS 66215
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 E. Normal St., McKinney BuildingKirksville, MO 63501 · Phone (660) 785-4182 · Fax (660) 785-4011
Location 28818 Golden LnDE Soto, KS 66018-7501 · Phone (615) 571-3982

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara M Wisdom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA A NEELY
Clinic/Center (Mental Health (Including Community Mental Health Center))
11900 W 87TH STREET PKWY STE 130
LENEXA, KS 66215
Johnson County (913) 486-1114
COUNSELING & THERAPEUTIC SERVICES OF JOHNSON CO LLC
Counselor (Mental Health)
11900 W 87TH STREET PKWY STE 130
LENEXA, KS 66215
Johnson County (913) 963-9990
TANYA RENEE FISHER
Social Worker (Clinical)
11900 W 87TH STREET PKWY STE 130
LENEXA, KS 66215
Johnson County (913) 522-1052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Wisdom's NPI number?

The NPI number for Lara Wisdom is 1184250979. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Lara Wisdom located?

Lara Wisdom practices at 11900 W 87th Street Pkwy Ste 130, Lenexa, KS 66215. The listed phone number is (615) 571-3982.

What is Lara Wisdom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lara Wisdom enrolled in Medicare?

Yes. Lara Wisdom is registered in the Medicare PECOS enrollment system.

What insurance does Lara Wisdom accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Lara Wisdom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lara Wisdom was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.