Active NPI
Rachel Matlack, LPC, NCC
- Mental Health Counselor
- Leawood, KS
National Provider Identifier
1558040774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 04404
- Practice address
- 6721 W 121St St
Leawood, KS 66209-2003 - Phone
- (816) 434-0958
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 04404 | KS | Primary |
Addresses
Primary practice location
6721 W 121St St
Leawood, KS 66209-2003
Mailing address
5242 Albervan St
Shawnee, KS 66216-5124
Phone (312) 515-7177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04404 | KS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1558040774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 ALBERVAN ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662165124",
"telephone_number": "312-515-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6721 W 121ST ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662092003",
"telephone_number": "816-434-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLACK",
"first_name": "RACHEL",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "04404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.