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KATHERINE DERISO
NPI 1851767289
Counselor - Mental Health in Buffalo, NY

Active since August 20, 2015PECOS Enrolled
430 NIAGARA ST, BUFFALO, NY 14201(716) 853-1335(716) 853-1598 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Deriso NPPES

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

KATHERINE DERISO (NPI 1851767289) is an individual mental health provider in Buffalo, New York, licensed in New York (008985) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851767289
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE DERISO
Location Address430 NIAGARA STBuffalo, NY 14201-1886
Mailing Address430 Niagara StBuffalo, NY 14201-1886 · (168) 531-3357 · Fax (716) 853-1598
Phone(716) 853-1335
Fax(716) 853-1598
Sole ProprietorNo
Enumeration DateAugust 20, 2015
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1851767289 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 · 008985
430 NIAGARA ST, Buffalo, NY 14201
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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 (PECOS)

Katherine Deriso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Katherine Deriso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bestself Behavioral Health, Inc.
0.7 mi
Mental Health (Including Community Mental Health Center)
255 DELAWARE AVE
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 119 clinicians in this Medicare group
NPI 1508868407 (716) 842-0440
Mid Erie Mental Health Services Inc
5.5 mi
Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
NPI 1225095201 (716) 895-7167

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.

ANDREA CAROLINA FLOREZ MARINO
Counselor (Mental Health)
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 853-1335
FABIOLA FRIOT LMSW
Social Worker (Clinical)
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 853-1335
KRISTIN MARIE ATTEA RN
Registered Nurse
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 856-2587
EILISE MAEVE SHAW
Peer Specialist
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 853-1335
MS. MARSHA LATRICE TABB ADVANCED CASAC
Counselor (Addiction (Substance Use Disorder))
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 853-1335
CARLOTTA CULVER
Peer Specialist
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 566-1870
MICHAEL S GEMBALA
Peer Specialist
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 961-7400
NICOLE CONSIDINE
Counselor
430 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 566-1870

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 Katherine Deriso's NPI number?

The NPI number for Katherine Deriso is 1851767289. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Katherine Deriso located?

Katherine Deriso practices at 430 Niagara St, Buffalo, NY 14201. The listed phone number is (716) 853-1335.

What is Katherine Deriso's specialty?

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

Is Katherine Deriso enrolled in Medicare?

Yes. Katherine Deriso is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Deriso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Deriso reassigns Medicare benefits to 2 organizations: Bestself Behavioral Health, Inc. (Buffalo, NY) and Mid Erie Mental Health Services Inc (Cheektowaga, NY). Each 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 Katherine Deriso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Deriso was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.