KRISTI DIEROLF
NPI 1053869495
Counselor - Mental Health in Lockport, NY
About Kristi Dierolf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTI DIEROLF (NPI 1053869495) is an individual mental health provider in Lockport, New York, licensed in New York (007450) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristi Dierolf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristi Dierolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lockport, NY 14094
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOCKPORT, NY 14094
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 Kristi Dierolf's NPI number?
The NPI number for Kristi Dierolf is 1053869495. It was assigned to this individual provider in the NPPES registry on September 14, 2016.
Where is Kristi Dierolf located?
Kristi Dierolf practices at 5467 Upper Mountain Road, Lockport, NY 14094. The listed phone number is (716) 439-7410.
What is Kristi Dierolf's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kristi Dierolf enrolled in Medicare?
Yes. Kristi Dierolf is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristi Dierolf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Dierolf reassigns Medicare benefits to County Of Niagara (Lockport, NY). 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 Kristi Dierolf'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 Kristi Dierolf was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kristi Dierolf · NPI 1053869495
Mental Health provider in Lockport, New York. Individual provider, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1053869495 (Entity type: Individual)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 007450 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5467 UPPER MOUNTAIN ROAD, Lockport, NY 14094
- **Phone:** (716) 439-7410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Niagara (NPI 1891832879, Lockport, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053869495) · Data from the CMS NPPES public registry.