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

Q: 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.

Q: What is Debra Dederich-elsner's specialty?

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

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: August 09, 2026.

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

On this page

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, maintains a secondary practice location in Green Bay, and is a graduate of Other (2013).

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

Medical School CMSOtherGraduated 2013

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7517460694

PECOS Enrollment IDI20250913000107

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.

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.

What insurance does Debra Dederich-elsner accept?

Health plans from Providence Health Plan list Debra Dederich-elsner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 6 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.