KRISTINA BLOUGH DERDERIAN LPC
NPI 1972039055
Counselor - Professional in Richmond, VA
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.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Blough Derderian Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Derderian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Chesterfield, VA 23236
- Reassigned Medicare billing, Virginia enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Kristina Derderian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Derderian reassigns Medicare benefits to Myspectrum LLC (North Chesterfield, VA). The 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 Kristina Derderian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Derderian accept?
Health plans from Oscar Health 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.
# Kristina Blough Derderian, LPC · NPI 1972039055
Professional provider in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since May 10, 2017.
## Identity
- **NPI:** 1972039055 (Entity type: Individual)
- **Enumerated:** May 10, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701006384 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 317 N BOULEVARD APT 7, Richmond, VA 23220-4028
- **Phone:** (804) 338-1662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Myspectrum LLC (NPI 1174029359, North Chesterfield, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1972039055) · Data from the CMS NPPES public registry.