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BRIDGET TEAL DERKASH LPC, LAC
NPI 1285428532
Counselor - Professional in Basalt, CO

Active since April 09, 2025

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridget Teal Derkash Lpc, Lac NPPES

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

BRIDGET TEAL DERKASH LPC, LAC (NPI 1285428532) is an individual professional provider in Basalt, Colorado, licensed in Colorado (LPC.0014689) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1285428532
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRIDGET TEAL DERKASHCredential: LPC, LAC
Location AddressPO BOX 1115Basalt, CO 81621-1115
Mailing AddressPo Box 1115Basalt, CO 81621-1115 · (970) 924-0703
Phone(970) 924-0703
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1285428532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0014689
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0001797 (CO)
PO BOX 1115, Basalt, CO 81621
Open in Google Maps ↗

Other Names 1

Former Name (1)Bridget Teal Jankovsky

Other Providers at the Same Location NPPES 3

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

STEVEN MORENO
Social Worker (Clinical)
PO BOX 1115
BASALT, CO 81621
Eagle County (970) 989-3490
SARA VALERIOUS LCSW
Social Worker (Clinical)
PO BOX 1115
BASALT, CO 81621
Eagle County (970) 924-0703
SUZANNE BOBER LSW
Social Worker (Clinical)
PO BOX 1115
BASALT, CO 81621
Eagle County (970) 924-0703

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 Bridget Derkash's NPI number?

The NPI number for Bridget Derkash is 1285428532. It was assigned to this individual provider in the NPPES registry on April 9, 2025. The provider is also known as Bridget Teal Jankovsky.

Where is Bridget Derkash located?

Bridget Derkash practices at PO Box 1115, Basalt, CO 81621. The listed phone number is (970) 924-0703.

What is Bridget Derkash's specialty?

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

When was this NPI record last updated?

The NPPES record for Bridget Derkash was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.