Active NPI
Dereka R Ross, LCPC
- Professional Counselor
- Bakersfield, CA
National Provider Identifier
1760971204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC11715
- Practice address
- 2001 28TH St
Bakersfield, CA 93301-1924 - Phone
- (661) 868-6600
- NPI assigned
- May 9, 2018
- 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 | LC11715 | MD | Primary |
Addresses
Primary practice location
2001 28TH St
Bakersfield, CA 93301-1924
Mailing address
1 Birdnest CT
Halethorpe, MD 21227-3529
Phone (443) 825-2215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC11715 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1760971204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BIRDNEST CT",
"city": "HALETHORPE",
"state": "MD",
"postal_code": "212273529",
"telephone_number": "443-825-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 28TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011924",
"telephone_number": "661-868-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DEREKA",
"middle_name": "R",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC11715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.