DERICKA LEA YOUNG MS, LPC
NPI 1659831600
Counselor - Professional in Fort Worth, TX
About Dericka Lea Young Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERICKA LEA YOUNG MS, LPC (NPI 1659831600) is an individual professional provider in Fort Worth, Texas, licensed in Texas (77911) and active in the NPI registry since March 2019. She has opted out of Medicare through September 17, 2026.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dericka Lea Young Ms, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 17, 2024 through September 17, 2026.
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 Dericka Young's NPI number?
The NPI number for Dericka Young is 1659831600. It was assigned to this individual provider in the NPPES registry on March 24, 2019. The provider is also known as Dericka Lea Kitts.
Where is Dericka Young located?
Dericka Young practices at 4500 Mercantile Plz Dr Ste 300, Fort Worth, TX 76137. The listed phone number is (682) 258-9740.
What is Dericka Young's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Dericka Young enrolled in Medicare?
No. Dericka Young has opted out of Medicare through September 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Dericka Young accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Dericka Young 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 Dericka Young was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dericka Lea Young, MS, LPC · NPI 1659831600
Professional provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since March 24, 2019.
## Identity
- **NPI:** 1659831600 (Entity type: Individual)
- **Enumerated:** March 24, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 77911 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4500 MERCANTILE PLZ DR STE 300, Fort Worth, TX 76137-4206
- **Phone:** (682) 258-9740
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 17, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** September 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659831600) · Data from the CMS NPPES public registry.