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MR. JOHNNY MARK KIRK LADC
NPI 1407979958
Counselor - Mental Health in Tulsa, OK

Active since April 09, 2007
3604 N CINCINNATI, TULSA, OK 74106(918) 425-4200(918) 425-4202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Johnny Mark Kirk Ladc NPPES

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

MR. JOHNNY MARK KIRK LADC (NPI 1407979958) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (582) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1407979958
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOHNNY MARK KIRKCredential: LADC
Location Address3604 N CINCINNATITulsa, OK 74106-1536
Mailing Address650 S PeoriaTulsa, OK 74120-4429 · (918) 587-9471 · Fax (918) 560-0137
Phone(918) 425-4200
Fax(918) 425-4202
Sole ProprietorNo
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407979958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 582
3604 N CINCINNATI, Tulsa, OK 74106
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Other Providers at the Same Location NPPES 5

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

MRS. MAVIE JEAN BUSBOOM MA
Case Manager/Care Coordinator
3604 N CINCINNATI
TULSA, OK 74106
Tulsa County (918) 425-4200
MS. ANN ROSE BRANDON
Case Manager/Care Coordinator
3604 N CINCINNATI
TULSA, OK 74106
Tulsa County (718) 425-4200
MISS HALEY MARIE BROONER CM
Case Manager/Care Coordinator
3604 N CINCINNATI
TULSA, OK 74106
Tulsa County (918) 425-4200
MRS. STAYCE LAVON WILLIAMS BA CMD
Case Manager/Care Coordinator
3604 N CINCINNATI
TULSA, OK 74106
Tulsa County (918) 425-4200
MS. LAURA ANN PATTERSON BA
Case Manager/Care Coordinator
3604 N CINCINNATI
TULSA, OK 74106
Tulsa County (918) 425-4200

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 Johnny Kirk's NPI number?

The NPI number for Johnny Kirk is 1407979958. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Johnny Kirk located?

Johnny Kirk practices at 3604 N Cincinnati, Tulsa, OK 74106. The listed phone number is (918) 425-4200.

What is Johnny Kirk'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 Johnny Kirk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.