Deedra Ivie, LPC is a
Counselor - Professional based in Brixey, Missouri. Deedra Ivie is licensed to practice in Colorado (license number 0005775) and her current practice location is
91 Verbena Ln, Brixey, Missouri. She can be reached at her office (for appointments etc.) via phone at
(970) 231-7251.
NPI number for Deedra Ivie is 1912353145 and her current mailing address is Po Box 482, Gainesville, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912353145.
Healthcare Provider's Profile
Full Name | Deedra Ivie |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 91 Verbena Ln, Brixey, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912353145
- Provider Enumeration Date: 05/06/2016
- Last Update Date: 02/17/2022
Medical Identifiers
Medical identifiers for Deedra Ivie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912353145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0005775 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deedra Ivie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deedra Ivie, LPC Po Box 482, Gainesville, MO 65655-0482 Ph: (970) 231-7251 | Deedra Ivie, LPC 91 Verbena Ln, Brixey, MO 65618-7802 Ph: (970) 231-7251 |
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