MEDICARE: MR. BRIAN P HEYDON ED.S., LPC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	2001033781	MO
2	101YM0800X	Mental Health Counselor	2001033781	MO
3	106H00000X	Marriage & Family Therapist	2001033781	MO

General Provider Information

NPI Number	:	1588703722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN P HEYDON ED.S., LPC

Provider Business Mailing Address
First Line	:	8080 WARD PKWY
Second Line	:	SUITE 330
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-2034
Country	:	US
Telephone Number	:	816-523-1600
Fax Number	:	816-444-1944

Provider Business Practice Location Address
First Line	:	8080 WARD PKWY
Second Line	:	SUITE 330
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-2034
Country	:	US
Telephone Number	:	816-523-1600
Fax Number	:	816-444-1944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	09/11/2025

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