MRS. JESSICA DERBYSHIRE MA, LMFT
NPI 1598303679
Counselor in Philadelphia, PA

Q: What is Jessica Derbyshire's NPI number?

The NPI number for Jessica Derbyshire is 1598303679. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Q: What is Jessica Derbyshire's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment

8540 VERREE RD, PHILADELPHIA, PA 19111(215) 617-3629 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2021, Dec 19, 2019 (2 updates tracked since 2019).

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About Mrs. Jessica Derbyshire Ma, Lmft NPPES

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

MRS. JESSICA DERBYSHIRE MA, LMFT (NPI 1598303679) is an individual counselor in Philadelphia, Pennsylvania, licensed in Pennsylvania (MF001138) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1598303679

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. JESSICA DERBYSHIRECredential: MA, LMFT

Location Address8540 VERREE RDPhiladelphia, PA 19111-1325

Mailing Address1168 Dogwood LnQuakertown, PA 18951-5926 · (845) 551-2602

Phone(215) 617-3629

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 19, 2019

Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2024

✔ NPI 1598303679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in PA · MF001138

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

8540 VERREE RD, Philadelphia, PA 19111

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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

Mrs. Jessica Derbyshire Ma, Lmft 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 ID9537507744

PECOS Enrollment IDI20240409000016

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 Jessica Derbyshire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lenape Valley Foundation

6.7 mi

Psychiatry

500 N WEST ST
Doylestown, PA 18901

Reassigned Medicare billing, Pennsylvania enrollment
75 clinicians in this Medicare group

NPI 1780735407 (215) 345-5300

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 20

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

DR. PAUL ALEXANDER HAUGHTON PSY.D.

Psychologist (Clinical)