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DEBRA DEDERICH-ELSNER LPCC
NPI 1053781146
Counselor - Professional in Los Lunas, NM

Active since October 01, 2015PECOS Enrolled
2112 MAIN ST NE, LOS LUNAS, NM 87031(505) 717-1155(505) 717-1473 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2019, Oct 1, 2015 (2 updates tracked since 2015).

About Debra Dederich-elsner Lpcc NPPES

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

DEBRA DEDERICH-ELSNER LPCC (NPI 1053781146) is an individual professional provider in Los Lunas, New Mexico, licensed in New Mexico (CCMH0206261) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1053781146
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEBRA DEDERICH-ELSNERCredential: LPCC
Location Address2112 MAIN ST NELos Lunas, NM 87031-7097
Mailing Address1499 6th StGreen Bay, WI 54304-2252 · (920) 497-6161
Phone(505) 717-1155
Fax(505) 717-1473
Sole ProprietorNo
Enumeration DateOctober 1, 2015
Last NPPES UpdateSeptember 27, 20192 updates tracked since enumeration
✔ NPI 1053781146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NM · CCMH0206261✔ Licensed in WI · 2316-226
2112 MAIN ST NE, Los Lunas, NM 87031
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Secondary Practice Location 1

Location 11499 6th StGreen Bay, WI 54304-2252 · Phone (920) 497-6161

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra Dederich-elsner Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Debra Dederich-elsner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Family Connection LLC
24 mi
Community/Behavioral Health
6001 WHITEMAN DR NW
Albuquerque, NM 87120
  • Reassigned Medicare billing, New Mexico enrollment
  • 13 clinicians in this Medicare group
NPI 1790970879 (505) 717-1155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

MS. CHERYL ROMERO BROWN LPCC
Counselor (Mental Health)
2112 MAIN ST NE, SUITE A
LOS LUNAS, NM 87031
Valencia County (505) 865-6176
MRS. CAROL C REINHART LPCC
Counselor (Mental Health)
2112 MAIN ST NE, SUITE A
LOS LUNAS, NM 87031
Valencia County (505) 865-6176
ROSALINDA OLIVAS
Behavior Analyst
2112 MAIN ST NE
LOS LUNAS, NM 87031
Valencia County (505) 565-1761
MRS. MARY JO RANELLS BACA LMSW, MPH
Social Worker (Clinical)
2112 MAIN ST NE, SUITE A
LOS LUNAS, NM 87031
Valencia County (505) 865-6176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Dederich-elsner's NPI number?

The NPI number for Debra Dederich-elsner is 1053781146. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Where is Debra Dederich-elsner located?

Debra Dederich-elsner practices at 2112 Main St NE, Los Lunas, NM 87031. The listed phone number is (505) 717-1155.

What is Debra Dederich-elsner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Debra Dederich-elsner enrolled in Medicare?

Yes. Debra Dederich-elsner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Debra Dederich-elsner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Dederich-elsner reassigns Medicare benefits to The Family Connection LLC (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Debra Dederich-elsner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Debra Dederich-elsner was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.