JAY F DEROSA MA, LPC
NPI 1396524245
Counselor - Professional in Colorado Springs, CO

Active since September 28, 2023PECOS Enrolled
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910(719) 572-6100 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay F Derosa Ma, Lpc NPPES

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

JAY F DEROSA MA, LPC (NPI 1396524245) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0019830) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396524245
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJAY F DEROSACredential: MA, LPC
Location Address179 S PARKSIDE DRColorado Springs, CO 80910-3130
Mailing Address1795 Jet Wing DrColorado Springs, CO 80916-2332 · (719) 572-6100
Sole ProprietorNo
Enumeration DateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
NPI 1396524245 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 CO · LPC.0019830
179 S PARKSIDE DR, Colorado Springs, CO 80910

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jay F Derosa Ma, Lpc 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.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Registered Nurse
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Registered Nurse
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Counselor (Addiction (Substance Use Disorder))
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Marriage & Family Therapist
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
Social Worker (Clinical)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910

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 Jay Derosa's NPI number?

The NPI number for Jay Derosa is 1396524245. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Jay Derosa located?

Jay Derosa practices at 179 S Parkside Dr, Colorado Springs, CO 80910. The listed phone number is (719) 572-6100.

What is Jay Derosa's specialty?

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

Is Jay Derosa enrolled in Medicare?

Yes. Jay Derosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Derosa was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.