Matthew Edward Luckenbach

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2011024810 Issued in MO

Practice address

8150 Wornall Rd
Kansas City, MO 64114-5806

Phone

(816) 682-1596

NPI assigned

May 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diakonos IncGroup PAC ID 1658323209, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diakonos Inc

  • Mental Health Counselor
  • Independence, MO
  • NPI 1164458931
  Medicare reassignment Care Compare group NPD
• Gillis Center, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Kansas City, MO
  • NPI 1881664365
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1134489313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 NE COLUMBUS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640862977",
            "telephone_number": "816-682-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145806",
            "telephone_number": "816-682-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKENBACH",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2011024810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Junalilz Baluran Lucero, BCBA
• Karstan Luchini, DO
• Lucienne Lee PHD, LLC
• Lucke Shanklin & Associates Inc
• Herman H Lucke, PH D
• Johann Anton Luckhoff, M.D.
• Connor Sigmund Luczak, PHARM.D.
• Eric Luder, DPT
• Donna Ludwig
• Kimberly Ludwig, LCSW

• Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.