Active NPI
Tyler Colby Breshears, LPC
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1437658366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2017038645
- Practice address
- 300 E 36TH St
Kansas City, MO 64111-1410 - Phone
- (816) 508-1700
- Fax
- (816) 508-1757
- NPI assigned
- Feb 6, 2018
- Last updated
- Aug 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 2017038645 | MO | Primary |
Addresses
Primary practice location
300 E 36TH St
Kansas City, MO 64111-1410
Mailing address
300 E 36TH St
Kansas City, MO 64111-1410
Phone (816) 508-1700
Other practice location 1
400 E 6th St
Parkville, MO 64152-3703
Phone (816) 587-4100
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 |
|---|---|---|---|
| 2017038645 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Breshears LLC | Professional | Current | Accepting new patients |
| Cornerstones of Care | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- North Kansas City, MO
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Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1437658366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 36TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111410",
"telephone_number": "816-508-1700",
"fax_number": "816-508-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 36TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111410",
"telephone_number": "816-508-1700",
"fax_number": "816-508-1757"
}
],
"practiceLocations": [
{
"address_1": "400 E 6th St",
"address_purpose": "LOCATION",
"city": "Parkville",
"state": "MO",
"postal_code": "641523703",
"country_code": "US",
"telephone_number": "816-587-4100",
"fax_number": "816-587-6691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRESHEARS",
"first_name": "TYLER",
"middle_name": "COLBY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-06",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2017038645",
"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 Aug 23, 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.