MATTHEW EDWARD LUCKENBACH
NPI 1134489313
Counselor in Kansas City, MO

Q: What is Matthew Luckenbach's NPI number?

The NPI number for Matthew Luckenbach is 1134489313. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Q: What is Matthew Luckenbach's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment

8150 WORNALL RD, KANSAS CITY, MO 64114(816) 682-1596 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Matthew Edward Luckenbach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW EDWARD LUCKENBACH (NPI 1134489313) is an individual counselor in Kansas City, Missouri, licensed in Missouri (2011024810) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134489313

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMATTHEW EDWARD LUCKENBACH

Location Address8150 WORNALL RDKansas City, MO 64114-5806

Mailing Address949 Ne Columbus StLees Summit, MO 64086-2977 · (816) 682-1596

Phone(816) 682-1596

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 22, 2012

Last NPPES UpdateJanuary 31, 2014

✔ NPI 1134489313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 2011024810

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

8150 WORNALL RD, Kansas City, MO 64114

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Edward Luckenbach is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648753855

PECOS Enrollment IDI20260316000739

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Luckenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diakonos Inc

14 mi

Mental Health

4200 LITTLE BLUE PKWY, SUITE 360
Independence, MO 64057

Reassigned Medicare billing, Missouri enrollment
6 clinicians in this Medicare group

NPI 1164458931 (816) 373-9240

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COWARTIZ MERKERSON

Counselor (Professional)