Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tracey Thibodeau, LPC, LAC, EDD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356161715

Dr. Tracey Thibodeau, LPC, LAC, EDD is an Addiction (Substance Use Disorder) Counselor in Overland Park, Kansas. Practices as a sole proprietor and works from 2 locations. Licensed in Kansas.

Licensed in
KS
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

9302 W 121st Ter
Overland Park, KS 66213-1547
Phone: (951) 255-8242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4701 College Blvd Ste 115, Leawood, KS 66211-1608 — (913) 777-4020

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 04842 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 01942 (KS)

Record details

NPI number1356161715
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LAC , EDD
Sole proprietorYes
NPI enumeratedOctober 11, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

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