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EVELYN DERRY PH.D.
NPI 1144773102
Counselor - Professional in Shreveport, LA

Active since July 26, 2016PECOS Enrolled
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105(318) 208-0451 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Dec 22, 2022 (2 updates tracked since 2022).

About Evelyn Derry Ph.d. NPPES

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

EVELYN DERRY PH.D. (NPI 1144773102) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (7130) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144773102
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEVELYN DERRYCredential: PH.D.
Location Address2924 KNIGHT ST STE 434Shreveport, LA 71105-2413
Mailing Address2924 Knight St Ste 434Shreveport, LA 71105-2413 · (318) 606-4413
Phone(318) 208-0451
Sole ProprietorYes
Enumeration DateJuly 26, 2016
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1144773102 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 LA · 7130
2924 KNIGHT ST STE 434, Shreveport, LA 71105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Derry Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Evelyn Derry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jenkins Counseling Services, LLC
2.3 mi
Mental Health (Including Community Mental Health Center)
1513 LINE AVE STE 225
Shreveport, LA 71101
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
NPI 1831556216 (318) 754-3890
Talkspace Provider Network PA
1,234 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Louisiana enrollment
  • 14 clinicians in this Medicare group
NPI 1639814049 (212) 284-7206

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.

ANQUITRA WALTON LPC, NCC
Counselor (Mental Health)
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 631-1122
LANITA PROCTOR
Social Worker
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 218-8704
MRS. DARRYLN M BARNES
Case Manager/Care Coordinator
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 631-1122
ANGELA KALYN CALHOUN MA
Counselor (Mental Health)
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 631-1122
LASHAWNDA MONIQUE FISHER
Contractor
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 631-1122
AUBRIE BOYLE
Counselor
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 631-1122
LAUREL KARIKARI
Counselor
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (918) 269-1575
MENTAL HEALTH SOLUTIONS
Clinic/Center (Mental Health (Including Community Mental Health Center))
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105
Caddo Parish (318) 631-1122

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 Evelyn Derry's NPI number?

The NPI number for Evelyn Derry is 1144773102. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Evelyn Derry located?

Evelyn Derry practices at 2924 Knight St Ste 434, Shreveport, LA 71105. The listed phone number is (318) 208-0451.

What is Evelyn Derry's specialty?

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

Is Evelyn Derry enrolled in Medicare?

Yes. Evelyn Derry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evelyn Derry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Derry reassigns Medicare benefits to 2 organizations: Jenkins Counseling Services, LLC (Shreveport, LA) and Talkspace Provider Network PA (New York, NY). Each 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 Evelyn Derry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evelyn Derry accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana and UnitedHealthcare list Evelyn Derry 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 Evelyn Derry was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.