Active NPI
Katherine K. Derry, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1700025434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14998
- Practice address
- 3701 Kirby Dr
Suite 1014
Houston, TX 77098-3900 - Phone
- (281) 633-1415
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14998 | TX | Primary |
Addresses
Primary practice location
3701 Kirby Dr
Suite 1014
Houston, TX 77098-3900
Mailing address
4917 Redbud Dr
Rosenberg, TX 77471-5560
Phone (281) 633-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14998 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1700025434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 REDBUD DR",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774715560",
"telephone_number": "281-633-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 KIRBY DR",
"address_2": "SUITE 1014",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983900",
"telephone_number": "281-633-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRY",
"first_name": "KATHERINE",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.