Mr Derek K Kirby, LPC, LMFT | |
205 S Park Ln, Altus, OK 73521-5755 | |
(580) 379-6850 | |
(580) 379-6859 |
Full Name | Mr Derek K Kirby |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 205 S Park Ln, Altus, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750395406 | NPI | - | NPPES |
200270420A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1131 (Oklahoma) | Secondary |
101YM0800X | Counselor - Mental Health | 1365 (Oklahoma) | Primary |
Entity Name | Jackson County Memorial Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek K Kirby, LPC, LMFT Po Box 8190, Altus, OK 73522-8190 Ph: (580) 379-5150 | Mr Derek K Kirby, LPC, LMFT 205 S Park Ln, Altus, OK 73521-5755 Ph: (580) 379-6850 |
Ms. Suzie Deann Braddock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 N Main St, Suite C, Altus, OK 73521 Phone: 580-471-9948 | |
Krystal Suzanne Warnes, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Sequoyah Ln Ste B-2, Altus, OK 73521 Phone: 580-379-0203 | |
Mrs. April M Dill, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 W Commerce St, 5th Floor, Altus, OK 73521 Phone: 580-482-2809 Fax: 580-482-2820 | |
Staci O'steen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 W Cypress St, Altus, OK 73521 Phone: 580-481-4184 | |
Mrs. Sarah A Biddy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N Hudson St, Altus, OK 73521 Phone: 580-379-4085 | |
Ms. Tonya Elaine Boots, MS LPC-S, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W Tamarack Rd, Altus, OK 73521 Phone: 580-483-9722 | |
Miss Karen S Parks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 E Tamarack Rd, Altus, OK 73521 Phone: 580-482-4095 Fax: 580-481-2499 |