Individual provider Active NPI

Dereka Feiler, MSSA, LISW

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1194304758
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.2102599 Issued in OH
Practice address
803 E Washington St Ste 200
Medina, OH 44256-3326
Phone
(330) 636-5000
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.2102599 OH Primary

Addresses

Primary practice location

803 E Washington St Ste 200
Medina, OH 44256-3326

Mailing address

803 E Washington St Ste 200
Medina, OH 44256-3326
Phone (330) 636-5000

Other practice location 1

4414 Beat Rd
Litchfield, OH 44253-9756
Phone (330) 461-6224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210525003331 OH Practitioner - Clinical Social Worker 5193124063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

803 E Washington St
Suite 200
Medina, OH 44256-3326
Phone (330) 636-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102599OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recoup Plus Relief Counseling & Therapeutic Services Comma LLC Mental Health CurrentSince Apr 1, 2021 Accepting new patients
Recoup Plus Relief Counseling & Therapeutic Services Comma LLC Current Accepting new patients

Locations

803 E Washington St
Ste 200
Medina, OH 44256
Phone (330) 636-5000

445 W Liberty St
Ste 232
Medina, OH 44256

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1194304758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E WASHINGTON ST STE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563326",
            "telephone_number": "330-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E WASHINGTON ST STE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563326",
            "telephone_number": "330-636-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 Beat Rd",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "OH",
            "postal_code": "442539756",
            "country_code": "US",
            "telephone_number": "330-461-6224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEILER",
        "first_name": "DEREKA",
        "credential": "MSSA, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.2102599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.