Individual provider Active NPI

Kirby Oxenreider, LPC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1689699951
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18176 Issued in AZ
Practice address
2081 W Frye Rd Ste 208
Chandler, AZ 85224-6279
Phone
(480) 524-0990
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 LPC-18176 AZ Primary

Addresses

Primary practice location

2081 W Frye Rd Ste 208
Chandler, AZ 85224-6279

Mailing address

2081 W Frye Rd Ste 208
Chandler, AZ 85224-6279
Phone (480) 524-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240423004508 AZ Practitioner - Other (Non-Physician) 7618316670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

2081 W Frye Rd
Suite 208
Chandler, AZ 85224-6279
Phone (702) 805-5360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18176AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince May 20, 2024 Accepting new patients
Psychology Specialists LTD PastSince Jan 29, 2023 Accepting new patients

Locations

2081 W Frye Rd
Ste 208
Chandler, AZ 85224
Phone (480) 524-0990

7373 N Scottsdale Rd
Ste A199
Scottsdale, AZ 85253
Phone (702) 805-5360

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1689699951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 W FRYE RD STE 208",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246279",
            "telephone_number": "480-524-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 W FRYE RD STE 208",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246279",
            "telephone_number": "480-524-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXENREIDER",
        "first_name": "KIRBY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.