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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: October 18, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jay Derosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Centered Counseling, PC
1.8 mi
Mental Health
1330 INVERNESS DR STE 400
Colorado Springs, CO 80910
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
NPI 1023659323 (970) 310-3406

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 20

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

LORI ELLEN STALCAR MS, LPC
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
KIMBERLY SMITH FAUST MC, LPC
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
JANE DOUGLASS
Registered Nurse
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
CYNTHIA LYNNETTE DUNCAN
Registered Nurse
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
JAMES F MACKEY LPC, NCC
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
MICHAEL MAESTAS
Counselor (Addiction (Substance Use Disorder))
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6393
JANELLE HALE LMFT
Marriage & Family Therapist
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
NICOLE R GRUNENWALD LCSW
Social Worker (Clinical)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100

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.

Which organization bills Medicare for Jay Derosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Derosa reassigns Medicare benefits to Heart Centered Counseling, PC (Colorado Springs, CO). The 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 Jay Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Derosa accept?

Health plans from Select Health list Jay Derosa 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 Jay Derosa was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.