MR. DERRICK LAMONT WOODBURY LPC
NPI 1366820839
Counselor - Mental Health in Tulsa, OK
NPI Status: Active since May 15, 2015
Contact Information
10212 E 41ST ST
TULSA, OK
ZIP 74146
Phone: (918) 970-0028
Fax: (918) 960-7308
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About DERRICK WOODBURY
This page provides the complete NPI Profile along with additional information for Derrick Woodbury, a provider established in Tulsa, Oklahoma with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1366820839 assigned on May 2015. The practitioner's primary taxonomy code is 101YM0800X with license number 5604 (OK). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1366820839
- Provider Name
- MR. DERRICK LAMONT WOODBURY LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10212 E 41ST ST TULSA, OK 74146
- Location Phone
- (918) 970-0028
- Location Fax
- (918) 960-7308
- Mailing Address
- 5928 E 7TH ST TULSA, OK 74112
- Mailing Phone
- (918) 970-0028
- Mailing Fax
- (918) 960-7308
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-15-2015
- Last Update Date
- 02-02-2024
- Code Navigator
A mental health counselor like Derrick Woodbury provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5604
- License State
- OK
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 5604 (OK) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - PPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Bronze Classic 4700 - PPO
- Bronze Classic Standard - PPO
- Bronze Elite + PCP Saver Plus - PPO
- Gold Classic Standard - PPO
- Secure - PPO
- Silver Classic Standard - PPO
- Silver Elite Saver Plus - PPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
- Silver Simple Diabetes - PPO
- Silver Simple PCP Saver - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Derrick Woodbury is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MR. DERRICK LAMONT WOODBURY LPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 8 | 2 | 0 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 16 | 2 | 0 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 6 + 2 + 0 + 8 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1366820839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538634654 | PREVAILING PASSIONS COUNSELING Organization | Community/Behavioral Health | 10212 E 41ST ST TULSA, OK 74146 (918) 970-0028 |
| 1205544764 | VICTORIA AVIV Individual | Case Manager/Care Coordinator | 10212 E 41ST ST TULSA, OK 74146 (619) 665-9918 |
| 1134834146 | ANNA ELISABETH WHEELER Individual | Case Manager/Care Coordinator | 10212 E 41ST ST TULSA, OK 74146 (918) 960-7852 |
| 1932883402 | JEREAN MOSQUITO Individual | Case Manager/Care Coordinator | 10212 E 41ST ST TULSA, OK 74146 (918) 960-7852 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366820839, enumerated in the NPI registry as an "individual" on May 15, 2015
The provider is located at 10212 E 41st St Tulsa, Ok 74146 and the phone number is (918) 970-0028
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on May 15, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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