Individual provider Active NPI

Jessica Derbyshire, MA, LMFT

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1598303679
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MF001138 Issued in PA
Practice address
8540 Verree Rd
Philadelphia, PA 19111-1325
Phone
(215) 617-3629
NPI assigned
Dec 19, 2019
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MF001138 PA Primary

Addresses

Primary practice location

8540 Verree Rd
Philadelphia, PA 19111-1325

Mailing address

1168 Dogwood LN
Quakertown, PA 18951-5926
Phone (845) 551-2602

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000016 PA Practitioner - Marriage and Family Therapist 9537507744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MF001138PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation CurrentSince Apr 8, 2024 Accepting new patients
Lenape Valley Foundation CurrentSince Apr 8, 2024 Accepting new patients
Lenape Valley Foundation Current Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1598303679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 DOGWOOD LN",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189515926",
            "telephone_number": "845-551-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191111325",
            "telephone_number": "215-617-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBYSHIRE",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "MF001138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.