Active NPI
Wyatt Bury, LPC
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1184516700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018011005
- Practice address
- 3921 Baltimore Ave
Kansas City, MO 64111-2223 - Phone
- (816) 200-0442
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018011005 | MO | Primary |
Addresses
Primary practice location
3921 Baltimore Ave
Kansas City, MO 64111-2223
Mailing address
3921 Baltimore Ave
Kansas City, MO 64111-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018011005 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1184516700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 BALTIMORE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 BALTIMORE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112223",
"telephone_number": "816-200-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURY",
"first_name": "WYATT",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018011005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.