MEDICARE: CARA WEEKS NEUBURGER LCPC

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	101YP2500X	Professional Counselor	2388	KS
2	101YP2500X	Professional Counselor	2006012555	MO
3	101YM0800X	Mental Health Counselor	2388	KS

Other Identifiers

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

General Provider Information

NPI Number	:	1639577463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA WEEKS NEUBURGER LCPC

Provider Business Mailing Address
First Line	:	10345 WILD HORSE RD
Second Line	:
City	:	MC LOUTH
State	:	KS
Zip	:	66054-5114
Country	:	US
Telephone Number	:	785-331-5684
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 BOB BILLINGS PKWY STE B
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3843
Country	:	US
Telephone Number	:	785-424-7410
Fax Number	:

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

Provider Enumeration Date	:	12/10/2014
Last Update Date	:	12/11/2023

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