Healthcare Provider Details

I. General information

NPI: 1831568021
Provider Name (Legal Business Name): MATHESON COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6240 W 135TH ST STE 200
OVERLAND PARK KS
66223-4849
US

IV. Provider business mailing address

6240 W 135TH ST STE 200
OVERLAND PARK KS
66223-4849
US

V. Phone/Fax

Practice location:
  • Phone: 913-522-0961
  • Fax:
Mailing address:
  • Phone: 913-522-0961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2006031965
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1887
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2232
License Number StateKS

VIII. Authorized Official

Name: LEAH BROOKE MATHESON
Title or Position: OWNER OPERATOR
Credential: LCPC LPC CCMHC NCC
Phone: 913-735-0056