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DEREK KIELKOPF
NPI 1376969063
Counselor - Mental Health in Moore, OK

Active since March 05, 2014
400 N BROADWAY ST, MOORE, OK 73160(405) 735-4650 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Kielkopf NPPES

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

DEREK KIELKOPF (NPI 1376969063) is an individual mental health provider in Moore, Oklahoma and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1376969063
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDEREK KIELKOPF
Location Address400 N BROADWAY STMoore, OK 73160-4812
Mailing Address3412 Arcadia DrYukon, OK 73099-9643 · (920) 645-3939
Phone(405) 735-4650
Sole ProprietorNo
Enumeration DateMarch 5, 2014
✔ NPI 1376969063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
400 N BROADWAY ST, Moore, OK 73160
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Other Providers at the Same Location NPPES 6

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

LAURENCE BURTON GRAY JR.
Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 735-4650
AMY MORGAN
Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 217-8400
AVERY JONES
Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 217-8400
MISS ASHLEY RENEE HOUSE
Counselor
400 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 735-4650
SANDRA HIBBERT RN
Registered Nurse
400 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 735-4650
KELLY NIX RN, BS, CCM
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
400 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 735-4650

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 Derek Kielkopf's NPI number?

The NPI number for Derek Kielkopf is 1376969063. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Derek Kielkopf located?

Derek Kielkopf practices at 400 N Broadway St, Moore, OK 73160. The listed phone number is (405) 735-4650.

What is Derek Kielkopf's specialty?

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

When was this NPI record last updated?

The NPPES record for Derek Kielkopf was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.