DEREK SESSOM LPC-20876
NPI 1558018309
Counselor - Professional in Phoenix, AZ

Active since March 02, 2022PECOS EnrolledAccepts Medicare Assignment
4425 N 24TH ST, PHOENIX, AZ 85016(623) 217-1733 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 27, 2023, Mar 2, 2022 (2 updates tracked since 2022).

About Derek Sessom Lpc-20876 NPPES

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

DEREK SESSOM LPC-20876 (NPI 1558018309) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-20876) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558018309
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEREK SESSOMCredential: LPC-20876
Location Address4425 N 24TH STPhoenix, AZ 85016-5501
Mailing Address2640 N 15th StPhoenix, AZ 85006-1125 · (623) 217-1733
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 2, 2022
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1558018309 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 AZ · LPC-20876
4425 N 24TH ST, Phoenix, AZ 85016

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derek Sessom Lpc-20876 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 ID8527583608
PECOS Enrollment IDI20250422001294
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 2

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

Dentist
4425 N 24TH ST, SUITE 100
PHOENIX, AZ 85016
Chiropractor
4425 N 24TH ST, STE 125
PHOENIX, AZ 85016

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 Sessom's NPI number?

The NPI number for Derek Sessom is 1558018309. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Derek Sessom located?

Derek Sessom practices at 4425 N 24th St, Phoenix, AZ 85016. The listed phone number is (623) 217-1733.

What is Derek Sessom's specialty?

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

Is Derek Sessom enrolled in Medicare?

Yes. Derek Sessom 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.

What insurance does Derek Sessom accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Derek Sessom 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 Sessom was last updated on March 27, 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.