VICKI DERRY
NPI 1053574418
Counselor in Bellingham, WA

Q: What is Vicki Derry's NPI number?

The NPI number for Vicki Derry is 1053574418. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Q: What is Vicki Derry's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Vicki Derry was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment

2592 KWINA RD, BELLINGHAM, WA 98226(360) 384-0464 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vicki Derry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKI DERRY (NPI 1053574418) is an individual counselor in Bellingham, Washington, licensed in Washington (RC00022403) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053574418

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameVICKI DERRY

Location Address2592 KWINA RDBellingham, WA 98226-9278

Mailing Address2592 Kwina RdBellingham, WA 98226-9278 · (360) 384-0464

Phone(360) 384-0464

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 7, 2008

✔ NPI 1053574418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · RC00022403

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2592 KWINA RD, Bellingham, WA 98226

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicki Derry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597921650

PECOS Enrollment IDI20220304000702

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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