Organization Active NPI

Prairie Fire Wellness LLC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1508362229
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2232 Issued in KS
Legal business name
PRAIRIE FIRE WELLNESS LLC
Practice address
6240 W 135TH St Ste 200
Overland Park, KS 66223-4849
Phone
(816) 588-1704
Fax
(816) 817-0834
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Leah B Matheson, NCMHC, NCC, LCPCNPI 1396924064
Title
Clinical Director/Owner
Phone
(913) 522-0961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 2232 KS Primary

Addresses

Primary practice location

6240 W 135TH St Ste 200
Overland Park, KS 66223-4849

Mailing address

6240 W 135TH St Ste 200
Overland Park, KS 66223-4849
Phone (816) 588-1704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1508362229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234849",
            "telephone_number": "816-588-1704",
            "fax_number": "816-817-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234849",
            "telephone_number": "816-588-1704",
            "fax_number": "816-817-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE FIRE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "913-522-0961",
        "authorized_official_credential": "NCMHC, NCC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.