Organization Active NPI

Mary Ann Wyatt LPC LLC

  • Professional Counselor
  • Saint Robert, MO
National Provider Identifier
1881287464
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MARY ANN WYATT LPC LLC
Practice address
213 Saint Robert Blvd Ste 3-504
Saint Robert, MO 65584-3323
Phone
(816) 425-2833
Fax
(816) 425-2098
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Mary Wyatt, LPCNPI 1710252333
Title
Owner
Phone
(816) 425-2833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

213 Saint Robert Blvd Ste 3-504
Saint Robert, MO 65584-3323

Mailing address

213 Saint Robert Blvd Ste 3-504
Saint Robert, MO 65584-3323
Phone (816) 425-2833

National Provider Directory

National Provider Directory

Locations

213 Saint Robert Blvd
Ste 3504
Saint Robert, MO 65584
Phone (816) 425-2833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1881287464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SAINT ROBERT BLVD STE 3-504",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655843323",
            "telephone_number": "816-425-2833",
            "fax_number": "816-425-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 SAINT ROBERT BLVD STE 3-504",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655843323",
            "telephone_number": "816-425-2833",
            "fax_number": "816-425-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN WYATT LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-425-2833",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Robert, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.