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

MR. DEREK K KIRBY LPC, LMFT
NPI 1750395406
Counselor - Mental Health in Altus, OK

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
205 S PARK LN, ALTUS, OK 73521(580) 379-6850(580) 379-6859 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2026, Jan 2, 2024, Dec 4, 2023 (3 updates tracked since 2023).

About Mr. Derek K Kirby Lpc, Lmft NPPES

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

MR. DEREK K KIRBY LPC, LMFT (NPI 1750395406) is an individual mental health provider in Altus, Oklahoma, licensed in Oklahoma (1365) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1750395406
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEREK K KIRBYCredential: LPC, LMFT
Location Address205 S PARK LNAltus, OK 73521-5755
Mailing Address1200 E Pecan StAltus, OK 73521-6141 · (580) 379-5150 · Fax (580) 379-5159
Fax(580) 379-6859
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1750395406 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 · 1365
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1131 (OK)
205 S PARK LN, Altus, OK 73521

Other Identifiers 1

Medicaid200270420AOK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Derek K Kirby Lpc, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870942881
PECOS Enrollment IDI20231214003640
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 Derek Kirby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
1200 E PECAN ST
Altus, OK 73521
  • Reassigned Medicare billing, Oklahoma enrollment
  • 62 clinicians in this Medicare group

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 20

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

Social Worker (Clinical)
205 S PARK LN
ALTUS, OK 73521
Nurse Practitioner (Psychiatric/Mental Health)
205 S PARK LN
ALTUS, OK 73521
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
205 S PARK LN, STE 130
ALTUS, OK 73521
Family Medicine
205 S PARK LN
ALTUS, OK 73521
Family Medicine
205 S PARK LN
ALTUS, OK 73521
Family Medicine
205 S PARK LN
ALTUS, OK 73521
Social Worker (Clinical)
205 S PARK LN
ALTUS, OK 73521
Clinic/Center (Rural Health)
205 S PARK LN
ALTUS, OK 73521

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 Kirby's NPI number?

The NPI number for Derek Kirby is 1750395406. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Derek Kirby located?

Derek Kirby practices at 205 S Park Ln, Altus, OK 73521. The listed phone number is (580) 379-6850.

What is Derek Kirby's specialty?

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

Is Derek Kirby enrolled in Medicare?

Yes. Derek Kirby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Derek Kirby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Kirby reassigns Medicare benefits to Jackson County Memorial Hospital Authority (Altus, 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 Derek Kirby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Kirby accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Derek Kirby 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 Derek Kirby was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.