Provider Demographics
NPI:1265025167
Name:ANDERSON, KASEN DANAE (LPC)
Entity type:Individual
Prefix:
First Name:KASEN
Middle Name:DANAE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KASEN
Other - Middle Name:DANAE
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:9225 INDIAN CREEK PKWY STE 750
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2139
Mailing Address - Country:US
Mailing Address - Phone:816-506-3819
Mailing Address - Fax:
Practice Address - Street 1:9225 INDIAN CREEK PKWY STE 750
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2139
Practice Address - Country:US
Practice Address - Phone:816-506-3819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80983101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional