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: July 19, 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
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

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Derrick Woodbury is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Community/Behavioral Health
10212 E 41ST ST
TULSA, OK 74146
Case Manager/Care Coordinator
10212 E 41ST ST
TULSA, OK 74146
Counselor (Professional)
10212 E 41ST ST
TULSA, OK 74146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366820839, enumerated as an "individual" on May 15, 2015.

The provider is located at 10212 E 41ST ST TULSA, OK 74146 and the phone number is (918) 970-0028.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.