LYSA N KIRBY MED, LCPC
NPI 1053787416
Counselor - Professional in Bowie, MD

Q: What is Lysa Kirby's NPI number?

The NPI number for Lysa Kirby is 1053787416. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Lysa Kirby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lysa Kirby was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2015PECOS Enrolled

16701 MELFORD BLVD STE 400, BOWIE, MD 20715(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Jul 21, 2022, May 25, 2017 (3 updates tracked since 2017).

On this page

About Lysa N Kirby Med, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSA N KIRBY MED, LCPC (NPI 1053787416) is an individual professional provider in Bowie, Maryland, licensed in Maryland (LC7373) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053787416

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLYSA N KIRBYCredential: MED, LCPC

Location Address16701 MELFORD BLVD STE 400Bowie, MD 20715-4411

Mailing Address8300 Esters Blvd Ste 900Irving, TX 75063-2233 · (415) 424-4266 · Fax (415) 520-6633

Phone(415) 424-4266

Fax(415) 520-6633

Sole ProprietorNo

Enumeration DateAugust 19, 2015

Last NPPES UpdateMay 4, 20233 updates tracked since enumeration

NPPES CertifiedMay 4, 2023

✔ NPI 1053787416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC7373

16701 MELFORD BLVD STE 400, Bowie, MD 20715

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lysa N Kirby Med, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIPHANIE GIBBS

Marriage & Family Therapist