DR. TRACEY THIBODEAU LPC LAC EDD NPI 1356161715

NPI Information

  • NPI: 1356161715
  • Provider Name: DR. TRACEY THIBODEAU, LPC, LAC, EDD
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 9302 W 121ST TER
    OVERLAND PARK, KS
    ZIP 66213
  • Phone: (951) 255-8242

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NPI Details

DR. Tracey Thibodeau, LPC, LAC, EDD is a professional counselor in Overland Park, KS. DR. Tracey Thibodeau, LPC, LAC, EDD NPI is 1356161715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9302 W 121ST TER
OVERLAND PARK, KS
ZIP 66213-547
Phone: (951) 255-8242

The enumeration date for this NPI number is 10/11/2024 and was last updated on 10/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)01942KANSASNo
2101YP2500XCounselorProfessional04842KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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