Gregory Kirby

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

11680 S 153Rd West Ave
Sapulpa, OK 74066-8564

Phone

(918) 639-4684

Fax

(918) 512-6320

NPI assigned

Jan 28, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifegate Freedom Recovery Ministries, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sapulpa, OK
  • NPI 1073103701

  Mental Health (Including Community Mental Health Center)

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1124619655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 S 153RD WEST AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740668564",
            "telephone_number": "918-512-6273",
            "fax_number": "918-512-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 S 153RD WEST AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740668564",
            "telephone_number": "918-639-4684",
            "fax_number": "918-512-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Kerpan
• Kaylee Kifer
• Cassandra King
• Jazmine S King
• Lara King
• David Kitchen
• Denesa Klockenkemper
• Bruce Knoch
• Jenna Rae Knoepfel, PHARM D
• Charles Steven Krienke

• Peer Specialist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.