Deedra Ivie, LPC is a medicare enrolled "Counselor - Professional" provider in Brixey, Missouri. She graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
91 Verbena Ln, Brixey, Missouri. You can reach out to her office (for appointments etc.) via phone at
(970) 231-7251.
Deedra Ivie is licensed to practice in Colorado (license number 0005775) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912353145.
Healthcare Provider's Profile
| Full Name | Deedra Ivie |
|---|
| Gender | Female |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 18 Years |
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| Location | 91 Verbena Ln, Brixey, Missouri |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Deedra Ivie graduated from medical school in 2008
NPI Data:
- NPI Number: 1912353145
- Provider Enumeration Date: 05/06/2016
- Last Update Date: 04/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365927076
- Enrollment ID: I20260402001092
Medical Identifiers
Medical identifiers for Deedra Ivie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912353145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2022006994 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 0005775 (Colorado) | Primary |
| 101YP2500X | Counselor - Professional | CC7342 (Maine) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deedra Ivie is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deedra Ivie, LPC
Po Box 482,
Gainesville, MO 65655-0482
Ph: (970) 231-7251 | Deedra Ivie, LPC
91 Verbena Ln,
Brixey, MO 65618-7802
Ph: (970) 231-7251 |
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