LAURA THENO LCPC, LPC
NPI 1043617152
Counselor - Professional in Kansas City, MO
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About LAURA THENO
This page provides the complete NPI Profile along with additional information for Laura Theno, a provider established in Kansas City, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1043617152 assigned on December 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 2017031254 (MO). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1043617152 Verify this NPI
- Provider Name
- LAURA THENO LCPC, LPC
- Other Name
- LAURA N GIBBENS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5734 N BROADWAY ST KANSAS CITY, MO 64118
- Location Phone
- (816) 866-6053
- Mailing Address
- 5736 N BROADWAY ST KANSAS CITY, MO 64118
- Mailing Phone
- (816) 307-0562
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-04-2014
- Last Update Date
- 10-19-2022
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Laura Theno opted out of Medicare effective on 01-01-2024 until 01-01-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 5300 Foxridge Dr
Mission, KS 66202
(816) 221-0305 - 5736 N Broadway St
Kansas City, MO 64118
(816) 307-0562
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2017031254
- License State
- MO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 2704 (KS) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 2548 (KS) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2028
Eligible to Order and Refer? No
Reviews for LAURA THENO LCPC, LPC
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
KANSAS CITY, MO 64118
KANSAS CITY, MO 64118
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043617152, enumerated as an "individual" on December 04, 2014.
The provider is located at 5734 N BROADWAY ST KANSAS CITY, MO 64118 and the phone number is (816) 866-6053.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
