Laura Theno, LCPC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017031254 Issued in MO

Practice address

5734 N Broadway St
Kansas City, MO 64118-3997

Phone

(816) 866-6053

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Laura N Gibbens Former name

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tandem Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1346738093
  NPD Authorized official
• Lilac Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1477877223
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1043617152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 N BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183997",
            "telephone_number": "816-307-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 N BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183997",
            "telephone_number": "816-866-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Foxridge Dr",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "66202",
            "country_code": "US",
            "telephone_number": "816-221-0305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5736 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64118",
            "country_code": "US",
            "telephone_number": "816-307-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THENO",
        "first_name": "LAURA",
        "credential": "LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2704",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2548",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017031254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GIBBENS",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke C Thebeau, PT
• Blair Ashton Thedinger
• Bradley Seaton Thedinger, MD
• Crystal Theis, DPT
• Larissa Theison, LCSW, LSCSW
• Mariana Ferguson Theodoro, M.D.
• Therapy Centre for Families
• Therapy-Central Inc
• Therapymatters KC LLC
• Theresa Febbo DC Chiropractic LLC

• All providers in Kansas City, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.