MATTHEW EDWARD LUCKENBACH (NPI# 1134489313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134489313 |
| Entity Type | Individual |
| Full Name | MATTHEW EDWARD LUCKENBACH |
| Practice Address |
8150 Wornall Rd Kansas City MO 64114-5806 |
| Mailing Address |
949 Ne Columbus St Lees Summit MO 64086-2977 |
| Practice Telephone | 8166821596 |
| Mailing Telephone | 8166821596 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2011024810 | MO | Behavioral Health & Social Service Providers |
| Street Address |
8150 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881664365 | Gillis Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2006-01-25 |
| 1306450861 | Kellie Rodriguez | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2020-09-02 |
| 1184234346 | Jennifer Lynn Sprague | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2020-08-03 |
| 1902414345 | Emma Ramirez | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2020-07-22 |
| 1679117568 | Summer Montgomery | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-11-04 |
| 1003460007 | Cowartiz Merkerson | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-07-29 |
| 1356815914 | Abigail Eisenhutt | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-01-17 |
| 1194299750 | Glenda Jimenez | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2019-01-17 |
| 1710461793 | Angela M Sheffler | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2018-09-17 |
| 1124510466 | Robin Galloway | Social Worker | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2018-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| 1386267227 | Paula Coyote Schaaf | Counselor | 1924 Van Brunt Blvd, Kansas City, MO 64127-2999 | 2020-05-27 |
| 1679113864 | Jared Warner Finley | Counselor | 2708 W 43rd Ave., Kansas City, KS 66103 | 2020-01-15 |
| 1609437995 | Ian T Guthrie | Counselor | 7931 N Flintlock Rd Apt L, Kansas City, MO 64158-1140 | 2019-06-26 |
| 1396229357 | Resilient Hope Kc LLC | Counselor | 705 Virginia Ave, Kansas City, MO 64106-1744 | 2018-09-17 |
| 1902392590 | Raquel Dupree | Counselor | 2956 E 28th St, Kansas City, MO 64128-1163 | 2018-07-06 |
| 1720529381 | Mark Christopher Martinez | Counselor | 20 W 9th St Ste 601, Kansas City, MO 64105-1704 | 2017-03-15 |
| 1972954261 | Julia Marie Vulic | Counselor | 7211 Nw 83rd St Ste 130, Kansas City, MO 64152-6036 | 2016-06-28 |
| 1083083018 | Shantai Mccray | Counselor | 2420 E. Linwood Blvd, Suite 300 C, Kansas City, MO 64109 | 2015-09-21 |
| 1043692775 | Felon Women 4 Change, Incorporated | Counselor | 1468 E 77th Street, Kansas City, MO 64131 | 2015-06-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.