THERESE CONUI DERECHO
NPI 1245198936
Nurse Practitioner - Psychiatric/Mental Health in Lombard, IL

Q: What is Therese Derecho's NPI number?

The NPI number for Therese Derecho is 1245198936. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Q: What is Therese Derecho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Therese Derecho was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 12, 2026PECOS Enrolled

246 E JANATA BLVD STE 245, LOMBARD, IL 60148(773) 562-2774 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Therese Conui Derecho NPPES

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

THERESE CONUI DERECHO (NPI 1245198936) is an individual psychiatric/mental health provider in Lombard, Illinois, licensed in Illinois (209.034405) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245198936

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTHERESE CONUI DERECHO

Location Address246 E JANATA BLVD STE 245Lombard, IL 60148-5382

Mailing Address246 E Janata Blvd Ste 245Lombard, IL 60148-5382 · (773) 562-2774

Phone(773) 562-2774

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1245198936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.034405

246 E JANATA BLVD STE 245, Lombard, IL 60148

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therese Conui Derecho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608342209

PECOS Enrollment IDI20260421001822

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DHARA NATHWANI LCPC LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))