DELIZ JIVON BYRD (MS) – Professional Counselor, NPI 1598933384

DELIZ JIVON BYRD (MS) is a healthcare provider. based in Independence, Kansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS. They hold a License No. 4596 (OK). The NPI Number for DELIZ JIVON BYRD (MS) is 1598933384

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DELIZ JIVON BYRD (MS)
NPI
1598933384
Phone
(620) 331-1748
Address
PO BOX 688
Enumeration Date
14 February 2008
Last Update Date
9 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7857427113
Graduation Year
2009 (17 years ago)
PAC ID
0143669093
Group Practice PAC ID
7810958998
Professional Enrollment ID
I20240411004430
Address ID
KS664342774HI909XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

387 MENTAL HEALTH COUNSELOR in KS

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Provider Addresses for DELIZ JIVON BYRD (MS)

  • 688, County Road 22A, Andover, Allegany County, New York, 14806, United States

    INDEPENDENCE, KS 673010688

    Phone: (620) 331-1748

    Fax: (620) 332-1940

    Type: Mailing

  • West Main Street, Independence, Montgomery County, Kansas, 67301, United States

    INDEPENDENCE, KS 673018446

    Phone: (620) 331-1748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240411004430IMental Health CounselorKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810958998View full group profile
NameSpecialtyState
Mental Health CounselorKS
Mental Health CounselorKS
Physician AssistantTN
Marriage And Family TherapistKS
Clinical Social WorkerKS
Mental Health CounselorMO
Clinical Social WorkerIA

Reviews

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Frequently asked questions

What unique ID ties claims to DELIZ JIVON BYRD (MS)?
NPI 1598933384 is assigned to DELIZ JIVON BYRD (MS) under the national enumeration system.
Is DELIZ JIVON BYRD (MS)'s NPI currently valid?
The extract we use shows DELIZ JIVON BYRD (MS) as active.
What kind of provider is DELIZ JIVON BYRD (MS)?
The page reflects Professional Counselor for DELIZ JIVON BYRD (MS). Clinical services aligned with this taxonomy classification.
Where is DELIZ JIVON BYRD (MS)'s primary listing?
We display Independence, Kansas because that is what the record indicates for DELIZ JIVON BYRD (MS).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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