Individual provider Active NPI

Deana Denae Kirby, MA, BCC

  • Pastoral Counselor
  • San Antonio, TX
National Provider Identifier
1568068047
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
61537 Issued in TX
Practice address
4230 Gardendale St Ste 502
San Antonio, TX 78229-3699
Phone
(210) 859-2366
Fax
(210) 593-9751
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 61537 TX Primary

Addresses

Primary practice location

4230 Gardendale St Ste 502
San Antonio, TX 78229-3699

Mailing address

5678 Mesquite Woods
Saint Hedwig, TX 78152-3616
Phone (210) 859-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
61537TXMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1568068047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5678 MESQUITE WOODS",
            "city": "SAINT HEDWIG",
            "state": "TX",
            "postal_code": "781523616",
            "telephone_number": "210-859-2366",
            "fax_number": "210-593-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 GARDENDALE ST STE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293699",
            "telephone_number": "210-859-2366",
            "fax_number": "210-593-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "DEANA",
        "middle_name": "DENAE",
        "credential": "MA, BCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "61537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.