Individual provider Active NPI

Audra Nicole Vanmatre

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1154821346
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025004023 Issued in MO
Practice address
7223 W 95TH St Ste 220
Overland Park, KS 66212-6195
Phone
(913) 346-1516
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025004023 MO Primary
Professional Counselor 101YP2500X 03548 KS

Addresses

Primary practice location

7223 W 95TH St Ste 220
Overland Park, KS 66212-6195

Mailing address

6400 W 110TH St Ste 202
Overland Park, KS 66211-1585
Phone (816) 607-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250821004288 KS Practitioner - Mental Health Counselor 1557861804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group KS PAGroup PAC ID 5991228165, 7 clinicians

Practice addresses (Care Compare)

1526 Houston St
Manhattan, KS 66502-4129
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03779KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group KS, P.a. CurrentSince Aug 14, 2025 Accepting new patients
Attachment and Trauma Therapy LLC PastSince Oct 8, 2023 Accepting new patients

Locations

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1154821346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W 110TH ST STE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111585",
            "telephone_number": "816-607-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 W 95TH ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662126195",
            "telephone_number": "913-346-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMATRE",
        "first_name": "AUDRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025004023",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.