Katie Derbak, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2025021139 Issued in MO

Practice address

2081 Collier Corporate Pkwy
Saint Charles, MO 63303-6701

Phone

(636) 255-0002

NPI assigned

Apr 3, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A W Stevenson LLCGroup PAC ID 8628437092, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A W Stevenson LLC

  • Professional Counselor
  • Saint Charles, MO
  • NPI 1396469060
  Medicare reassignment Care Compare group NPD
• Step by Step Counseling, LLC

  • Community/Behavioral Health Agency
  • Saint Charles, MO
  • NPI 1467888552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1073254223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853290",
            "telephone_number": "636-223-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 COLLIER CORPORATE PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036701",
            "telephone_number": "636-255-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Creekside Office Dr",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853290",
            "country_code": "US",
            "telephone_number": "636-223-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERBAK",
        "first_name": "KATIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2025021139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis N Glascock, DO LLC
• Reena M Dennis, MA, LPC
• Cole E Denton, MD
• Jennifer Denunzio
• Depression Clinic at the Health Centers
• Lisa Devall
• Stephanie A Devereux, LPC
• Caroline Devine
• Phillip Richard Devore, PHARM.D.
• Katherine M Dewey, M.D.

• Mental Health Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.