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NPI Code Detail

MEDICARE: MRS. LEAH BROOKE MATHESON MS, LCPC, LPC, CCMHC

MEDICARE: MRS. LEAH BROOKE MATHESON MS, LCPC, LPC, CCMHC
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
1101YM0800XMental Health Counselor2232KS
2101YP2500XProfessional Counselor1887KS
3101YP2500XProfessional Counselor2006031965MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396924064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEAH BROOKE MATHESON MS, LCPC, LPC, CCMHC
Provider Business Mailing Address
First Line : 6240 W 135TH ST STE 200
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66223-4849
Country : US
Telephone Number : 913-522-0961
Fax Number :
Provider Business Practice Location Address
First Line : 6240 W 135TH ST STE 200
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66223-4849
Country : US
Telephone Number : 913-522-0961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2007
Last Update Date : 06/02/2026

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