KATIE DERBAK LPC
NPI 1073254223
Counselor - Mental Health in Saint Charles, MO

Active since April 03, 2022PECOS EnrolledAccepts Medicare Assignment
2081 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303(636) 255-0002 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Nov 17, 2025 (2 updates tracked since 2025).

About Katie Derbak Lpc NPPES

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

KATIE DERBAK LPC (NPI 1073254223) is an individual mental health provider in Saint Charles, Missouri, licensed in Missouri (2025021139) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wentzville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073254223
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATIE DERBAKCredential: LPC
Location Address2081 COLLIER CORPORATE PKWYSaint Charles, MO 63303-6701
Mailing Address237 Creekside Office DrWentzville, MO 63385-3290 · (636) 223-4383
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2022
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1073254223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 2025021139
2081 COLLIER CORPORATE PKWY, Saint Charles, MO 63303

Secondary Practice Location 1

Location 1237 Creekside Office DrWentzville, MO 63385-3290 · Phone (636) 223-4383

Accepted Insurance

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

Katie Derbak Lpc 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 ID4981196946
PECOS Enrollment IDI20251126000967
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 20

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

Counselor (Professional)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Professional)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Mental Health)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Professional)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Professional)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Mental Health)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Professional)
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor
2081 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303

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 Katie Derbak's NPI number?

The NPI number for Katie Derbak is 1073254223. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Where is Katie Derbak located?

Katie Derbak practices at 2081 Collier Corporate Pkwy, Saint Charles, MO 63303. The listed phone number is (636) 255-0002.

What is Katie Derbak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katie Derbak enrolled in Medicare?

Yes. Katie Derbak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katie Derbak accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Katie Derbak 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 Katie Derbak was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.