Ericka Derose

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18-P141040-01 Issued in NY

Practice address

153 New Dorp LN
Staten Island, NY 10306-3050

Phone

(646) 258-7970

NPI assigned

Feb 23, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peace of Mind Mental Health Counseling Staten Island PLLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1457084469
  NPD (past)

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1760336341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 WESTWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145319",
            "telephone_number": "917-756-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063050",
            "telephone_number": "646-258-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "ERICKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18-P141040-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Joseph Derenzo, LMHC
• Patrick Anthony Derespinis Sr., M.D.
• Samantha Deriso, LPN
• Jenna Nicole Derleth, OT
• Denise Derosa, PT
• Jelani Charles Derrick, RN
• Angel Deruvo, SLP MA CCC
• Bhavita Desai, MD
• Harshadray Desai
• Kinjal N Desai, OTR/L

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.