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DEREK ANDERSON LPC
NPI 1477181006
Counselor - Professional in Mesquite, TX

Active since March 30, 2020PECOS Enrolled
120 W MAIN ST, MESQUITE, TX 75149(214) 351-3490 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2024, Mar 30, 2020 (2 updates tracked since 2020).

About Derek Anderson Lpc NPPES

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

DEREK ANDERSON LPC (NPI 1477181006) is an individual professional provider in Mesquite, Texas, licensed in Texas (88317) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477181006
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEREK ANDERSONCredential: LPC
Location Address120 W MAIN STMesquite, TX 75149-4264
Mailing Address500 Sunrise CirSeagoville, TX 75159-2043 · (903) 804-7441
Phone(214) 351-3490
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1477181006 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 TX · 88317
Also ListedCommunity Health WorkerTaxonomy 172V00000X
120 W MAIN ST, Mesquite, TX 75149
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Derek Anderson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274093539
PECOS Enrollment IDI20260904004014
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 Derek Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premierpoint Behavioral Health PLLC
11 mi
Mental Health (Including Community Mental Health Center)
6122 SAN MARINO DR
Rowlett, TX 75089
  • Reassigned Medicare billing, Texas enrollment
NPI 1649114653 (903) 804-7441

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 7

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

SHARON KIRVEN MD PA
Family Medicine
120 W MAIN ST, SUITE 205
MESQUITE, TX 75149
Dallas County (972) 226-4200
HEIDY HERNANDEZ
Community Health Worker
120 W MAIN ST
MESQUITE, TX 75149
Dallas County (214) 351-3490
VICKY DEVORICE JOHNSON
Community Health Worker
120 W MAIN ST
MESQUITE, TX 75149
Dallas County (214) 351-3490
BRITTANI BLANKENSHIP
Case Manager/Care Coordinator
120 W MAIN ST
MESQUITE, TX 75149
Dallas County (214) 351-3490
LOMAIA R. ROCKWELL
Social Worker
120 W MAIN ST
MESQUITE, TX 75149
Dallas County (469) 477-8150
MYESHA DIXON
Social Worker
120 W MAIN ST
MESQUITE, TX 75149
Dallas County (832) 764-9256
LIDIANIE GONZALEZ BA PSYCHOLOGY
Community Health Worker
120 W MAIN ST
MESQUITE, TX 75149
Dallas County (682) 414-2931

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 Derek Anderson's NPI number?

The NPI number for Derek Anderson is 1477181006. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Derek Anderson located?

Derek Anderson practices at 120 W Main St, Mesquite, TX 75149. The listed phone number is (214) 351-3490.

What is Derek Anderson's specialty?

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

Is Derek Anderson enrolled in Medicare?

Yes. Derek Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derek Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Anderson reassigns Medicare benefits to Premierpoint Behavioral Health PLLC (Rowlett, TX). 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 Derek Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Anderson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Derek Anderson 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 Derek Anderson was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.