| Matthew Edward Luckenbach, | |
|
8150 Wornall Rd, Kansas City, MO 64114-5806 | |
| (816) 682-1596 | |
| Not Available |
| Full Name | Matthew Edward Luckenbach |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 8150 Wornall Rd, Kansas City, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134489313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2011024810 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diakonos Inc | 1658323209 | 6 |
| Entity Name | Diakonos Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164458931 PECOS PAC ID: 1658323209 Enrollment ID: O20050211000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Edward Luckenbach, 949 Ne Columbus St, Lees Summit, MO 64086-2977 Ph: (816) 682-1596 | Matthew Edward Luckenbach, 8150 Wornall Rd, Kansas City, MO 64114-5806 Ph: (816) 682-1596 |
Mrs. Kerry Sue Christifano, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9237 Ward Pkwy Ste 105, Kansas City, MO 64114 Phone: 816-523-2200 |
Ms. Vivica Yvonne Snype-stewart, LPC, LMSW, CRC, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 Cherry St, Kansas City, MO 64108 Phone: 816-421-7643 Fax: 816-421-0405 |
Jodie Lynn Rosendal, PLPC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 5545 N Oak Trfy, Kansas City, MO 64118 Phone: 816-500-1355 |
Dhruti Umang Shah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3211 Woodland Ave, Kansas City, MO 64109 Phone: 816-966-0900 |
Cowartiz Merkerson, Counselor Medicare: May Accept Medicare Assignments Practice Location: 8150 Wornall Rd, Kansas City, MO 64114 Phone: 816-508-3500 Fax: 816-508-3535 |
Dr. Linda Sterling, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 E 18th St Ste 203, Kansas City, MO 64108 Phone: 816-455-9433 |
Vanidee Stollenwerk, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7509 Nw Tiffany Springs Pkwy Ste 320, Kansas City, MO 64153 Phone: 816-500-1355 Fax: 816-569-6797 |