KRISTINA BLOUGH DERDERIAN LPC
NPI 1972039055
Counselor - Professional in Richmond, VA

Q: What is Kristina Derderian's NPI number?

The NPI number for Kristina Derderian is 1972039055. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Q: What is Kristina Derderian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since May 10, 2017PECOS Enrolled

317 N BOULEVARD APT 7, RICHMOND, VA 23220(804) 338-1662 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristina Blough Derderian Lpc NPPES

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

KRISTINA BLOUGH DERDERIAN LPC (NPI 1972039055) is an individual professional provider in Richmond, Virginia, licensed in Virginia (0701006384) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972039055

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKRISTINA BLOUGH DERDERIANCredential: LPC

Location Address317 N BOULEVARD APT 7Richmond, VA 23220-4028

Mailing Address317 N Boulevard Apt 7Richmond, VA 23220-4028 · (804) 338-1662

Phone(804) 338-1662

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 10, 2017

✔ NPI 1972039055 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 VA · 0701006384

317 N BOULEVARD APT 7, Richmond, VA 23220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Blough Derderian Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456864552

PECOS Enrollment IDI20250701004378

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.

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 Kristina Derderian's NPI number?

The NPI number for Kristina Derderian is 1972039055. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Kristina Derderian located?

Kristina Derderian practices at 317 N Boulevard Apt 7, Richmond, VA 23220. The listed phone number is (804) 338-1662.

What is Kristina Derderian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristina Derderian enrolled in Medicare?

Yes. Kristina Derderian is registered in the Medicare PECOS enrollment system.

What insurance does Kristina Derderian accept?

Health plans from Providence Health Plan list Kristina Derderian 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 Kristina Derderian was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.