DERICK ALLEN DUSTON LMHC
NPI 1487175709
Counselor - Mental Health in Fort Myers, FL

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment
12550 NEW BRITTANY BLVD STE 201, FORT MYERS, FL 33907(239) 343-9180(239) 343-9188 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2024, Jul 19, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Derick Allen Duston Lmhc NPPES

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

DERICK ALLEN DUSTON LMHC (NPI 1487175709) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH14792) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Punta Gorda, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487175709
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERICK ALLEN DUSTONCredential: LMHC
Location Address12550 NEW BRITTANY BLVD STE 201Fort Myers, FL 33907-3655
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9180 · Fax (239) 343-9188
Fax(239) 343-9188
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 28, 2017
Last NPPES UpdateSeptember 11, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1487175709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH14792
Also ListedCounselorTaxonomy 101Y00000X · License 14792 (FL)
12550 NEW BRITTANY BLVD STE 201, Fort Myers, FL 33907

Secondary Practice Location 1

Location 11700 Education AvePunta Gorda, FL 33950-6222 · Phone (941) 639-8300 ext. 2341 · Fax (941) 639-6831

Other Identifiers 2

OtherMH14792FL · Mh License
Medicaid021497400FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derick Allen Duston Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658721501
PECOS Enrollment IDI20231219001887
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 Derick Duston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group

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 3

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

Family Medicine (Addiction Medicine)
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Internal Medicine (Addiction Medicine)
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Clinic/Center (Federally Qualified Health Center (FQHC))
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907

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 Derick Duston's NPI number?

The NPI number for Derick Duston is 1487175709. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Derick Duston located?

Derick Duston practices at 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907. The listed phone number is (239) 343-9180.

What is Derick Duston's specialty?

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

Is Derick Duston enrolled in Medicare?

Yes. Derick Duston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Derick Duston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derick Duston reassigns Medicare benefits to 2 organizations: Lee Health System Inc (Fort Myers, FL) and Lee Memorial Health System (Fort Myers, FL). 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 Derick Duston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derick Duston accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Derick Duston 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 Derick Duston was last updated on September 11, 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.