Provider Demographics
NPI:1831568021
Name:MATHESON COUNSELING LLC
Entity type:Organization
Organization Name:MATHESON COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:MATHESON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC LPC CCMHC NCC
Authorized Official - Phone:913-735-0056
Mailing Address - Street 1:5401 COLLEGE BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1626
Mailing Address - Country:US
Mailing Address - Phone:913-703-6447
Mailing Address - Fax:
Practice Address - Street 1:5251 W 116TH PL STE 200
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2011
Practice Address - Country:US
Practice Address - Phone:913-735-0056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1887101YP2500X
MO2006031965101YP2500X
KS2232101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty