Active NPI
Derek Francis Oberlander
- Counselor
- Shippenville, PA
National Provider Identifier
1578075669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC009926
- Practice address
- 9664 Route 322
Shippenville, PA 16254-8734 - Phone
- (814) 227-2232
- NPI assigned
- Oct 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC009926 | PA | Primary |
Addresses
Primary practice location
9664 Route 322
Shippenville, PA 16254-8734
Mailing address
44 W Main St
Clarion, PA 16214-1816
Phone (814) 229-1887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
162 S 2ND Ave
Suite D
Clarion, PA 16214-2464
Phone (814) 900-4510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KRD Counseling and Wellness Center, LLC | Current | Accepting new patients | |
| Hope Center for Counseling and Mental Wellness, Inc. | Past | Accepting new patients |
Locations
162 S 2nd Ave
Ste D
Clarion, PA 16214
Phone (814) 299-6402
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.
-
- Professional Counselor
- Clarion, PA
- NPI 1134867930
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shippenville, PA
- NPI 1629439856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1578075669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 W MAIN ST",
"city": "CLARION",
"state": "PA",
"postal_code": "162141816",
"telephone_number": "814-229-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9664 ROUTE 322",
"city": "SHIPPENVILLE",
"state": "PA",
"postal_code": "162548734",
"telephone_number": "814-227-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERLANDER",
"first_name": "DEREK",
"middle_name": "FRANCIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-29",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC009926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shippenville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.