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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIM DEROIN
NPI 1447974795
Peer Specialist in Tulsa, OK

Active since September 30, 2022
1728 S CARSON AVE, TULSA, OK 74119(918) 852-1604 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Sep 30, 2022 (2 updates tracked since 2022).

About Kim Deroin NPPES

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

KIM DEROIN (NPI 1447974795) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1447974795
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIM DEROIN
Location Address1728 S CARSON AVETulsa, OK 74119-4610
Mailing Address1728 S Carson AveTulsa, OK 74119-4610 · (918) 852-1604
Phone(918) 852-1604
Sole ProprietorNo
Enumeration DateSeptember 30, 2022
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1447974795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1728 S CARSON AVE, Tulsa, OK 74119
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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.

DR. GARY RAYMOND RHODES JR. MA, MS, MMFT, DMIN
Marriage & Family Therapist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 406-3420
JIMMY DEAN HARJO JR.
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 406-3420
MS. CINDY B SMITH M.S., L.P.C.
Counselor (Mental Health)
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 816-1149
MR. CORY RAY THACKERAY
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 946-1209
JOI-MICHELLE RHODES MSW
Social Worker (Clinical)
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 936-6127
JOHNNIE FAYE LOONEY
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 859-7510
JOHN JASON TAYLOR
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 231-3887
ABRAXAS SCIENTIFIC
Clinical Medical Laboratory
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 917-4321

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 Kim Deroin's NPI number?

The NPI number for Kim Deroin is 1447974795. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Where is Kim Deroin located?

Kim Deroin practices at 1728 S Carson Ave, Tulsa, OK 74119. The listed phone number is (918) 852-1604.

What is Kim Deroin's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kim Deroin was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.