Kevin Owen Wilburn, M.A., NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

9700 Grandview Rd
Kansas City, MO 64137-1135

Phone

(816) 508-3493

NPI assigned

May 26, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spofford

  • Psychiatric Residential Treatment Facility
  • Kansas City, MO
  • NPI 1972583474
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1114210861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 GRANDVIEW RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371135",
            "telephone_number": "816-508-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GRANDVIEW RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371135",
            "telephone_number": "816-508-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "KEVIN",
        "middle_name": "OWEN",
        "credential": "M.A., NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Leigh Wigodner, LCSW
• Wihy Ai, Inc.
• Daniel Wikiera
• Bradley S Wilber, RN, BSN,MS, CRNA
• Mercedes C Wilbourn
• Lory Alane Wilcher, CPNP
• Heather Wilcox
• Jeana Renee Wilcox, PHD, RN, APMHCNS
• Mary Elizabeth Wilcox, PT
• Jennifer Wilcoxon

• Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.