Jeffrey Derry, LPC
NPI 1528359734 · Professional Counselor · Fountain, CO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Derry, LPC is a Professional Counselor provider in Fountain, CO (NPI 1528359734).
Provider details
- NPI number
- 1528359734
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 2009024349 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2935 Bagnell Dam BlvdLake Ozark, MO 65049-8661Phone: (573) 202-3740Fax: (866) 358-6406
Registry dates
- Enumerated
- 2011-04-21
- Last updated
- 2018-03-21
Frequently asked questions
- What is Jeffrey Derry's NPI number?
- Jeffrey Derry's National Provider Identifier (NPI) is 1528359734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Derry's specialty?
- Jeffrey Derry is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jeffrey Derry located?
- Jeffrey Derry's practice location on file with NPPES is 350 Lyckman Pl, Fountain, CO 80817-2861.
- What is Jeffrey Derry's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Derry is (719) 632-5700.
- Does Jeffrey Derry accept Medicare?
- Jeffrey Derry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Derry's NPI active?
- Yes — Jeffrey Derry's NPI (1528359734) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.