MATTHEW R DERR LPC
NPI 1457139461
Counselor - Professional in Lebanon, MO

Active since September 20, 2023PECOS Enrolled
860 LYNN ST, LEBANON, MO 65536(844) 853-8937 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew R Derr Lpc NPPES

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

MATTHEW R DERR LPC (NPI 1457139461) is an individual professional provider in Lebanon, Missouri, licensed in Missouri (2026006788) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Robert, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457139461
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW R DERRCredential: LPC
Location Address860 LYNN STLebanon, MO 65536-3810
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 20, 2023
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1457139461 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 MO · 2026006788
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A2302033 (AR)
860 LYNN ST, Lebanon, MO 65536

Secondary Practice Location 1

Location 1155 Park DrSaint Robert, MO 65584-7860 · Phone (844) 853-8937

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew R Derr Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092295097
PECOS Enrollment IDI20260218001410
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 (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Psychiatry & Neurology (Psychiatry)
860 LYNN ST
LEBANON, MO 65536
Dentist
860 LYNN ST
LEBANON, MO 65536
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Nurse Practitioner (Primary Care)
860 LYNN ST
LEBANON, MO 65536
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536

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 Matthew Derr's NPI number?

The NPI number for Matthew Derr is 1457139461. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Matthew Derr located?

Matthew Derr practices at 860 Lynn St, Lebanon, MO 65536. The listed phone number is (844) 853-8937.

What is Matthew Derr's specialty?

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

Is Matthew Derr enrolled in Medicare?

Yes. Matthew Derr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Derr was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.