Individual provider Active NPI

Jeffrey B Kirby, MA LPC

  • Professional Counselor
  • Alma, MI
National Provider Identifier
1194976027
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401006208 Issued in MI
Practice address
608 Wright Ave
Alma, MI 48801-1617
Phone
(989) 463-4971
NPI assigned
Oct 9, 2008
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401006208 MI Primary

Addresses

Primary practice location

608 Wright Ave
Alma, MI 48801-1617

Mailing address

608 Wright Ave
Alma, MI 48801-1617
Phone (989) 463-4971

Other names 1

  • Mr. Jeffrey Bruce Kirby Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001093 MI Practitioner - Mental Health Counselor 8628427184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gratiot Integrated Health NetworkGroup PAC ID 3577722990, 14 clinicians

Practice addresses (Care Compare)

608 Wright Ave
Alma, MI 48801-1617
Phone (989) 463-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Gratiot Integrated Health Network CurrentSince Jan 1, 2024 Accepting new patients

Locations

608 Wright Ave
Alma, MI 48801
Phone (989) 400-5985

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1194976027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011617",
            "telephone_number": "989-463-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011617",
            "telephone_number": "989-463-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "KIRBY",
            "middle_name": "BRUCE",
            "prefix": "MR.",
            "credential": "MA LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.