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DEEDRA IVIE LPC
NPI 1912353145
Counselor - Professional in Brixey, MO

Active since May 06, 2016PECOS Enrolled
91 VERBENA LN, BRIXEY, MO 65618(970) 231-7251 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2026, Feb 17, 2022 (2 updates tracked since 2022).

About Deedra Ivie Lpc NPPES

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

DEEDRA IVIE LPC (NPI 1912353145) is an individual professional provider in Brixey, Missouri, licensed in Colorado (0005775) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912353145
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEEDRA IVIECredential: LPC
Location Address91 VERBENA LNBrixey, MO 65618-7802
Mailing AddressPo Box 482Gainesville, MO 65655-0482 · (970) 231-7251
Phone(970) 231-7251
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 6, 2016
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1912353145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CO · 0005775✔ Licensed in MO · 2022006994✔ Licensed in ME · CC7342
91 VERBENA LN, Brixey, MO 65618
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deedra Ivie Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365927076
PECOS Enrollment IDI20260402001092
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 Deedra Ivie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,044 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado and Missouri enrollments
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 Deedra Ivie's NPI number?

The NPI number for Deedra Ivie is 1912353145. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Deedra Ivie located?

Deedra Ivie practices at 91 Verbena Ln, Brixey, MO 65618. The listed phone number is (970) 231-7251.

What is Deedra Ivie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Deedra Ivie enrolled in Medicare?

Yes. Deedra Ivie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deedra Ivie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deedra Ivie reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Deedra Ivie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deedra Ivie accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Medica, Oscar Insurance Company and Select Health and 1 other insurer list Deedra Ivie 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 Deedra Ivie was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.