Jennifer Derri, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007165 Issued in NY

Practice address

213 Hempstead Ave Unit a
Lynbrook, NY 11563-1656

Phone

(516) 256-9523

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

Yes

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 NY

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, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Blossoming Cherry Mental Health Counseling Services P.C.Group PAC ID 3072054790, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Blossoming Cherry Mental Health Counseling Services P.C.

  • Mental Health Counselor
  • Lynbrook, NY
  • NPI 1689238495
  Medicare reassignment Care Compare group NPD Authorized official
• Be Well Psychological Services, PLLC

  • Psychologist
  • Rockville Centre, NY
  • NPI 1386209898
  NPD

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1124482963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HEMPSTEAD AVE UNIT A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631656",
            "telephone_number": "516-256-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HEMPSTEAD AVE UNIT A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631656",
            "telephone_number": "516-256-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRI",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-03-31",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elizabeth De Luca
• Susan Decosta, LPN
• Barbara J Delannoy, RN
• Thomas Denapoli
• Dentistry on Broadway
• Ruth Desrameaux, RN
• Tamara B Desvarieux, NP
• Brian S Deveaux, PT
• Catherine Claire Devine-Grehan, PH.D.
• Lesly Devoliere Jr.

• Mental Health Counselor in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.