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ERICKA DEROSE
NPI 1760336341
Counselor - Mental Health in Staten Island, NY

Active since February 23, 2026
153 NEW DORP LN, STATEN ISLAND, NY 10306(646) 258-7970 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ericka Derose NPPES

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

ERICKA DEROSE (NPI 1760336341) is an individual mental health provider in Staten Island, New York, licensed in New York (18-P141040-01) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1760336341
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameERICKA DEROSE
Location Address153 NEW DORP LNStaten Island, NY 10306-3050
Mailing Address317 Westwood AveStaten Island, NY 10314-5319 · (917) 756-4549
Phone(646) 258-7970
Sole ProprietorYes
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 22, 2026
✔ NPI 1760336341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 18-P141040-01
153 NEW DORP LN, Staten Island, NY 10306
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DANIELLE MARIE NARDUCCI LMHC
Counselor (Mental Health)
153 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (631) 485-7072
MR. ANDREW KENNETH WAKSCHAL LMHC
Counselor
153 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (929) 334-3521
JACQUELYN KEMPTON
Counselor (Mental Health)
153 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (347) 696-1916
PEACE OF MIND MENTAL HEALTH COUNSELING STATEN ISLAND PLLC
Counselor (Mental Health)
153 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (646) 258-7970

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 Ericka Derose's NPI number?

The NPI number for Ericka Derose is 1760336341. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Ericka Derose located?

Ericka Derose practices at 153 New Dorp Ln, Staten Island, NY 10306. The listed phone number is (646) 258-7970.

What is Ericka Derose's specialty?

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

When was this NPI record last updated?

The NPPES record for Ericka Derose was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.