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: November 08, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Derek Sessom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
337 E CORONADO RD STE 201
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 39 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 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.

Which organization bills Medicare for Derek Sessom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Sessom reassigns Medicare benefits to Recovia LLC (Phoenix, AZ). 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 Sessom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.