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JAMES K DERCKS LPC
NPI 1134586779
Counselor - Professional in Menasha, WI

Active since January 27, 2016PECOS EnrolledAccepts Medicare Assignment
1810 APPLETON RD, MENASHA, WI 54952(920) 739-4226(920) 739-7639 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2017, Jan 27, 2016 (2 updates tracked since 2016).

About James K Dercks Lpc NPPES

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

JAMES K DERCKS LPC (NPI 1134586779) is an individual professional provider in Menasha, Wisconsin, licensed in Wisconsin (6749) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134586779
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJAMES K DERCKSCredential: LPC
Location Address1810 APPLETON RDMenasha, WI 54952-1110
Mailing Address1810 Appleton RdMenasha, WI 54952-1110 · (920) 739-4226 · Fax (920) 739-7639
Phone(920) 739-4226
Fax(920) 739-7639
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 27, 2016
Last NPPES UpdateDecember 12, 20172 updates tracked since enumeration
✔ NPI 1134586779 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 WI · 6749
1810 APPLETON RD, Menasha, WI 54952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James K Dercks 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 ID4880045640
PECOS Enrollment IDI20240305000192
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 James Dercks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Services Of Northeast Wisconsin Inc
0.2 mi
Mental Health (Including Community Mental Health Center)
1810 APPLETON RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 16 clinicians in this Medicare group
NPI 1275525925 (920) 739-4226

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 14

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

WILLARD J SECOR JR. MSW
Social Worker (Clinical)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
MEGAN E SEBO MSW, APSW, SAC-IT
Social Worker (Clinical)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
KATHRYN EILEEN KEEFE-NEILSON MS ED, LPC
Counselor (Professional)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
ELLEN CARY LPC-IT
Counselor (Professional)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
HEATHER MATTSON MSW, LCSW
Social Worker (Clinical)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
ABIGAIL G ZEIDLER MSW, APSW, LGSW
Social Worker (Clinical)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
JOSEPH THOMAS HURLBURT MS, LPC-IT
Counselor (Professional)
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226
FAMILY SERVICES OF NORTHEAST WISCONSIN INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1810 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 739-4226

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 James Dercks's NPI number?

The NPI number for James Dercks is 1134586779. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is James Dercks located?

James Dercks practices at 1810 Appleton Rd, Menasha, WI 54952. The listed phone number is (920) 739-4226.

What is James Dercks's specialty?

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

Is James Dercks enrolled in Medicare?

Yes. James Dercks 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.

Which organization bills Medicare for James Dercks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Dercks reassigns Medicare benefits to Family Services Of Northeast Wisconsin Inc (Menasha, WI). 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 James Dercks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Dercks accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list James Dercks 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 James Dercks was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.