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KELLY M DEROOS LMHC
NPI 1457798779
Counselor - Mental Health in Council Bluffs, IA

Active since May 28, 2013PECOS Enrolled
300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503(402) 882-0583(712) 254-8829 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly M Deroos Lmhc NPPES

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

KELLY M DEROOS LMHC (NPI 1457798779) is an individual mental health provider in Council Bluffs, Iowa, licensed in Iowa (001602) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Council Bluffs.

NPPES Registry Identity

NPI1457798779
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY M DEROOSCredential: LMHC
Location Address300 W BROADWAY STE 240Council Bluffs, IA 51503-9028
Mailing Address300 W Broadway Ste 240Council Bluffs, IA 51503-9028 · (402) 882-0583
Phone(402) 882-0583
Fax(712) 254-8829
Sole ProprietorYes
Enumeration DateMay 28, 2013
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1457798779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 001602
300 W BROADWAY STE 240, Council Bluffs, IA 51503
Open in Google Maps ↗

Secondary Practice Location 1

Location 1142 E Palmer AveCouncil Bluffs, IA 51503-5057 · Phone (712) 328-2806

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M Deroos Lmhc 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 Reassignments

2

Medicare enrollment records show Kelly Deroos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Your Self-Care Therapy LLC
0.1 mi
Mental Health
300 W BROADWAY STE 240
Council Bluffs, IA 51503
  • Reassigned Medicare billing, Iowa enrollment
NPI 1790314243 (402) 882-0583
Unmc Physicians
17 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

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 11

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

MICHAEL ELLAND LIMHP, LMHC
Counselor (Professional)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 310-8464
MRS. ATHENA C FERTIG APRN,PMHNP-BC,NP-C
Nurse Practitioner
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 266-3577
JAYNE PERFECT LMHC/LIMHP
Counselor (Mental Health)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 850-6052
712 COUNSELING GROUP LLC
Counselor (Mental Health)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 789-1108
KARA LYNN HENSLEY MS, LMHC
Counselor (Mental Health)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 740-6656
SCOTT COUNSELING AND CONSULTING
Counselor (Mental Health)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 796-1910
ATHENA INTEGRATED CARE PLLC
Nurse Practitioner (Psychiatric/Mental Health)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 266-3577
NORTHLAND HEARING CENTERS, INC.
Clinic/Center (Hearing and Speech)
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 933-1453

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 Kelly Deroos's NPI number?

The NPI number for Kelly Deroos is 1457798779. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Kelly Deroos located?

Kelly Deroos practices at 300 W Broadway Ste 240, Council Bluffs, IA 51503. The listed phone number is (402) 882-0583.

What is Kelly Deroos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Deroos enrolled in Medicare?

Yes. Kelly Deroos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Deroos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Deroos reassigns Medicare benefits to 2 organizations: Your Self-Care Therapy LLC (Council Bluffs, IA) and Unmc Physicians (Omaha, NE). Each 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 Kelly Deroos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Deroos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Kelly Deroos 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 Kelly Deroos was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.