Individual provider Active NPI

Brandy Shawn Smith, LCPC

  • Professional Counselor
  • Kansas City, KS
National Provider Identifier
1366160459
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
03958 Issued in KS
Practice address
3115 S 54TH St
Kansas City, KS 66106-3217
Phone
(913) 302-6844
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 03958 KS Primary
Professional Counselor 101YP2500X 3559 KS

Addresses

Primary practice location

3115 S 54TH St
Kansas City, KS 66106-3217

Mailing address

3115 S 54TH St
Kansas City, KS 66106-3217
Phone (913) 302-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710002982 KS Practitioner - Mental Health Counselor 7618412057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03958KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Center for Community Behavioral Healthcare, Inc. CurrentSince Apr 22, 2024 Accepting new patients

Locations

1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007

757 Armstrong Ave
Kansas City, KS 66101

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1366160459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S 54TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063217",
            "telephone_number": "913-302-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S 54TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063217",
            "telephone_number": "913-302-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDY",
        "middle_name": "SHAWN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03958",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.