DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PRAIRIE FIRE WELLNESS LLC

MEDICARE: PRAIRIE FIRE WELLNESS LLC
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
1101YP2500XProfessional Counselor2232KS

General Provider Information

NPI Number : 1508362229
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRAIRIE FIRE WELLNESS LLC
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 : 816-588-1704
Fax Number : 816-817-0834
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 : 816-588-1704
Fax Number : 816-817-0834
Authorized Official
Title or Position : CLINICAL DIRECTOR/OWNER
Name : LEAH B MATHESON
Credential : NCMHC, NCC, LCPC
Telephone Number : 913-522-0961
Provider Enumeration Date : 04/02/2018
Last Update Date : 06/02/2026

Similar Medicare Providers

1396924064 — MRS. LEAH BROOKE MATHESON MS, LCPC, LPC, CCMHC
Practice Location Address:
6240 W 135TH ST STE 200
OVERLAND PARK, KS
66223-4849
Practice Phone: 913-522-0961
Practice Fax:
1831568021 — MATHESON COUNSELING LLC
Practice Location Address:
6240 W 135TH ST STE 200
OVERLAND PARK, KS
66223-4849
Practice Phone: 913-522-0961
Practice Fax:
1770596892 — DR. WENDY S. EAVES PHD
Practice Location Address:
6240 W 135TH ST STE 200
OVERLAND PARK, KS
66223-4849
Practice Phone: 913-499-4302
Practice Fax: 913-308-0880
1508085291 — BOULEVARD PSYCHOLOGY, LLC
Practice Location Address:
6240 W 135TH ST STE 200
OVERLAND PARK, KS
66223-4849
Practice Phone: 913-499-4302
Practice Fax: 913-308-0880
1386262319 — DR. WYATT STEPHENS DC
Practice Location Address:
6240 W 135TH ST STE 200
OVERLAND PARK, KS
66223-4849
Practice Phone: 816-349-1220
Practice Fax:
1265142673 — DEER CREEK BEHAVIORAL HEALTH SERVICES
Practice Location Address:
6240 W 135TH ST STE 200
OVERLAND PARK, KS
66223-4849
Practice Phone: 913-710-1518
Practice Fax:

Directions to “PRAIRIE FIRE WELLNESS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.