MR. EDWARD RAY DERR LPC, NCC
NPI 1134497548
Counselor - Professional in Springfield, MO

Active since December 13, 2011PECOS Enrolled
926 S DEVONSHIRE DR, SPRINGFIELD, MO 65802(417) 848-1849 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Ray Derr Lpc, Ncc NPPES

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

MR. EDWARD RAY DERR LPC, NCC (NPI 1134497548) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2005040692) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1134497548
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. EDWARD RAY DERRCredential: LPC, NCC
Location Address926 S DEVONSHIRE DRSpringfield, MO 65802-2721
Mailing Address926 S Devonshire DrSpringfield, MO 65802-2721 · (417) 848-1849
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 13, 2011
NPI 1134497548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2005040692
926 S DEVONSHIRE DR, Springfield, MO 65802

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 (PECOS)

Mr. Edward Ray Derr Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183105174
PECOS Enrollment IDI20260227000533
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.

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 Edward Derr's NPI number?

The NPI number for Edward Derr is 1134497548. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Edward Derr located?

Edward Derr practices at 926 S Devonshire Dr, Springfield, MO 65802. The listed phone number is (417) 848-1849.

What is Edward Derr's specialty?

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

Is Edward Derr enrolled in Medicare?

Yes. Edward Derr is registered in the Medicare PECOS enrollment system.

What insurance does Edward Derr accept?

Health plans from Anthem Blue Cross and Blue Shield list Edward Derr 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 Edward Derr was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.