Provider Demographics
NPI:1639577463
Name:WEEKS NEUBURGER, CARA (LCPC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:WEEKS NEUBURGER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10345 WILD HORSE RD
Mailing Address - Street 2:
Mailing Address - City:MC LOUTH
Mailing Address - State:KS
Mailing Address - Zip Code:66054-5114
Mailing Address - Country:US
Mailing Address - Phone:785-331-5684
Mailing Address - Fax:
Practice Address - Street 1:5040 BOB BILLINGS PKWY STE B
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3843
Practice Address - Country:US
Practice Address - Phone:785-424-7410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2388101YP2500X, 101YM0800X
MO2006012555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201109630BMedicaid
KS30004324460002Medicaid