MR. JOHNNY MARK KIRK LADC NPI 1407979958

NPI Information

  • NPI: 1407979958
  • Provider Name: MR. JOHNNY MARK KIRK, LADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3604 N CINCINNATI
    TULSA, OK
    ZIP 74106
  • Phone: (918) 425-4200

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NPI Details

MR. Johnny Mark Kirk, LADC is a mental health counselor in Tulsa, OK. MR. Johnny Mark Kirk, LADC NPI is 1407979958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3604 N CINCINNATI
TULSA, OK
ZIP 74106-536
Phone: (918) 425-4200
Fax: (918) 425-4202

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health582OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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