Tyler R Burch

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2010007553 Issued in MO

Practice address

1524 NE 96TH St Ste C
Liberty, MO 64068-1380

Phone

(816) 368-2000

Fax

(816) 533-6873

NPI assigned

Oct 22, 2019

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• The Luminaries Project LLC

  • Professional Counselor
  • Kansas City, MO
  • NPI 1992058184
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1164065207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 N MONROE CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641562900",
            "telephone_number": "816-269-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 NE 96TH ST STE C",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681380",
            "telephone_number": "816-368-2000",
            "fax_number": "816-533-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "TYLER",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010007553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckley Chiropractic, P.C.
• Eric J Buckley, D.C.
• Andrew Stephen Buckner
• Desiree Jade Buddemeyer
• Mackenzie Burch
• Cassie Marie Burgard
• Farah Rae Burgess
• Dak R Burnett, MD
• Dalen Burns
• Marcia Nailene Burns, PLPC

• Professional Counselor in Liberty, MO
• Providers in Liberty, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.