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KAITLEE DERX
NPI 1285097931
Counselor - Addiction (Substance Use Disorder) in Victor, NY

Active since March 31, 2016PECOS Enrolled
6539 ANTHONY DR, VICTOR, NY 14564(585) 398-8835 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlee Derx NPPES

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

KAITLEE DERX (NPI 1285097931) is an individual addiction (substance use disorder) provider in Victor, New York and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1285097931
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAITLEE DERX
Location Address6539 ANTHONY DRVictor, NY 14564-1441
Mailing Address94 Forest Meadow TrlRochester, NY 14624-1137 · (716) 307-8403
Phone(585) 398-8835
Sole ProprietorNo
Enumeration DateMarch 31, 2016
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1285097931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
6539 ANTHONY DR, Victor, NY 14564
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Secondary Practice Location 1

Location 194 Forest Meadow TrlRochester, NY 14624-1137 · Phone (716) 307-8403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlee Derx 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.

Frequently Asked Questions

What is Kaitlee Derx's NPI number?

The NPI number assigned to this healthcare provider is 1285097931, enumerated as an "individual" on March 31, 2016.

Where is the provider located?

The provider is located at 6539 ANTHONY DR VICTOR, NY 14564 and the phone number is (585) 398-8835.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).