DYLAN MATTHEW KIRK
NPI 1902772684
Counselor - Mental Health in Tucson, AZ

Active since October 11, 2025PECOS Enrolled
8452 E APPOMATTOX ST, TUCSON, AZ 85710(520) 834-7417 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Oct 11, 2025 (2 updates tracked since 2025).

About Dylan Matthew Kirk NPPES

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

DYLAN MATTHEW KIRK (NPI 1902772684) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LPC-24269) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902772684
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDYLAN MATTHEW KIRK
Location Address8452 E APPOMATTOX STTucson, AZ 85710-2923
Mailing Address8452 E Appomattox StTucson, AZ 85710-2923 · (520) 834-7417
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 11, 2025
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1902772684 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 AZ · LPC-24269
8452 E APPOMATTOX ST, Tucson, AZ 85710

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Matthew Kirk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082105929
PECOS Enrollment IDI20251118003762
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 Reassignments

2

Medicare enrollment records show Dylan Kirk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5055 E BROADWAY BLVD STE B100
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 49 clinicians in this Medicare group
Multi-Specialty
5055 E BROADWAY BLVD STE A200
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 12 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.

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 Dylan Kirk's NPI number?

The NPI number for Dylan Kirk is 1902772684. It was assigned to this individual provider in the NPPES registry on October 11, 2025.

Where is Dylan Kirk located?

Dylan Kirk practices at 8452 E Appomattox St, Tucson, AZ 85710. The listed phone number is (520) 834-7417.

What is Dylan Kirk's specialty?

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

Is Dylan Kirk enrolled in Medicare?

Yes. Dylan Kirk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dylan Kirk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Kirk reassigns Medicare benefits to 2 organizations: Community Partners Integrated Healthcare Inc. (Tucson, AZ) and Assurance Assertive Community Treatment, LLC (Tucson, AZ). Each 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 Dylan Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Kirk accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Dylan Kirk 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 Dylan Kirk was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.