MEDICARE: SARAH ELIZABETH KIRBY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2006009694	MO
2	101YP2500X	Professional Counselor	2006009694	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205043866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH KIRBY LPC

Provider Business Mailing Address
First Line	:	6544 COUNTY ROAD 1280
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-4851
Country	:	US
Telephone Number	:	417-766-0397
Fax Number	:

Provider Business Practice Location Address
First Line	:	6544 COUNTY ROAD 1280
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-4851
Country	:	US
Telephone Number	:	417-766-0397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/19/2025

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