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MR. DERRICK LAMONT WOODBURY LPC
NPI 1366820839
Counselor - Mental Health in Tulsa, OK

Active since May 15, 2015PECOS Enrolled
10212 E 41ST ST, TULSA, OK 74146(918) 970-0028(918) 960-7308 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Oct 14, 2019 (2 updates tracked since 2019).

About Mr. Derrick Lamont Woodbury Lpc NPPES

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

MR. DERRICK LAMONT WOODBURY LPC (NPI 1366820839) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (5604) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366820839
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DERRICK LAMONT WOODBURYCredential: LPC
Location Address10212 E 41ST STTulsa, OK 74146-3703
Mailing Address5928 E 7th StTulsa, OK 74112-2913 · (918) 970-0028 · Fax (918) 960-7308
Phone(918) 970-0028
Fax(918) 960-7308
Sole ProprietorYes
Enumeration DateMay 15, 2015
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1366820839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 5604
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License P2212014 (AR), LPC013870 (GA), 5604 (OK)
10212 E 41ST ST, Tulsa, OK 74146
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derrick Lamont Woodbury Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Derrick Woodbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Improving Lives Counseling Services, Inc.
5.7 mi
Community/Behavioral Health
6216 S LEWIS AVE, SUITE 180
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 70 clinicians in this Medicare group
NPI 1487967444 (918) 960-7852

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

ANNA ELISABETH WHEELER
Counselor (Professional)
10212 E 41ST ST
TULSA, OK 74146
Tulsa County (918) 960-7852
JEREAN MOSQUITO
Case Manager/Care Coordinator
10212 E 41ST ST
TULSA, OK 74146
Tulsa County (918) 960-7852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Woodbury's NPI number?

The NPI number for Derrick Woodbury is 1366820839. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Derrick Woodbury located?

Derrick Woodbury practices at 10212 E 41st St, Tulsa, OK 74146. The listed phone number is (918) 970-0028.

What is Derrick Woodbury's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Derrick Woodbury enrolled in Medicare?

Yes. Derrick Woodbury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derrick Woodbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Woodbury reassigns Medicare benefits to Improving Lives Counseling Services, Inc. (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derrick Woodbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrick Woodbury accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Derrick Woodbury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrick Woodbury was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.