Healthcare Provider Details

I. General information

NPI: 1245392463
Provider Name (Legal Business Name): LEANORA ELIZABETH BARRECA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEANORA BARRECA, PH.D., L.L.C PH.D.

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10918 ELM AVE.
KS KANSAS CITY MO
64134
US

IV. Provider business mailing address

7606 NE 86TH CT
KANSAS CITY MO
64157-9557
US

V. Phone/Fax

Practice location:
  • Phone: 816-767-7608
  • Fax: 816-251-6367
Mailing address:
  • Phone: 816-368-1828
  • Fax: 816-326-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2015042594
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2001022356
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: