KOURTNEY MARIE DEBOER LMFT
NPI 1992113781
Marriage & Family Therapist in Frederick, MD

Active since July 24, 2014Opted out of Medicare · through Feb 21, 2028
4412 ARABY CHURCH RD, FREDERICK, MD 21704(667) 285-8488 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kourtney Marie Deboer Lmft NPPES

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

KOURTNEY MARIE DEBOER LMFT (NPI 1992113781) is an individual marriage & family therapist in Frederick, Maryland, licensed in Washington (LF60497597) and active in the NPI registry since July 2014. She has opted out of Medicare through February 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992113781
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKOURTNEY MARIE DEBOERCredential: LMFT
Location Address4412 ARABY CHURCH RDFrederick, MD 21704-7708
Mailing Address4412 Araby Church RdFrederick, MD 21704-7708 · (667) 285-8488
Sole ProprietorYes
Enumeration DateJuly 24, 2014
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
NPI 1992113781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in WA · LF60497597 Licensed in DC · LMFT200001325 Licensed in VA · LMFT0717002067
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4412 ARABY CHURCH RD, Frederick, MD 21704

Other Names 1

Former Name (1)Kourtney Marie Hicks

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kourtney Marie Deboer Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2024 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2024
Opt-Out In Effect ThroughFebruary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kourtney Deboer's NPI number?

The NPI number for Kourtney Deboer is 1992113781. It was assigned to this individual provider in the NPPES registry on July 24, 2014. The provider is also known as Kourtney Marie Hicks.

Where is Kourtney Deboer located?

Kourtney Deboer practices at 4412 Araby Church Rd, Frederick, MD 21704. The listed phone number is (667) 285-8488.

What is Kourtney Deboer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kourtney Deboer enrolled in Medicare?

No. Kourtney Deboer has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kourtney Deboer was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.