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DEANNA DERRY COUNSELING LLC
NPI 1992581524
Social Worker - Clinical in Fort Wayne, IN

Active since September 08, 2023
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804(260) 422-9372(260) 422-0843 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deanna Derry Counseling Llc NPPES

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

DEANNA DERRY COUNSELING LLC (NPI 1992581524) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since September 2023. The organization lists Deanna Derry, Owner, as its authorized official.

NPPES Registry Identity

NPI1992581524
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDEANNA DERRY COUNSELING LLC
Location Address4656 W JEFFERSON BLVD STE 285Fort Wayne, IN 46804-6838
Mailing Address4656 W Jefferson Blvd Ste 285Fort Wayne, IN 46804-6838 · (260) 422-9372 · Fax (260) 422-0843
Phone(260) 422-9372
Fax(260) 422-0843
Organization SubpartNo
Authorized OfficialDeanna DerryOwner · (260) 312-0171
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1992581524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4656 W JEFFERSON BLVD STE 285, Fort Wayne, IN 46804
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deanna Derry Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deanna Derry Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deanna Derry, LCSW
Clinical Social Worker
NPI 1639955263
4656 W JEFFERSON BLVD STE 285
Fort Wayne, IN 46804
(260) 422-9372
✔ PECOS✔ Accepts MedicareSame address

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 Deanna Derry Counseling LLC's NPI number?

The NPI number for Deanna Derry Counseling LLC is 1992581524. It was assigned to this organization in the NPPES registry on September 8, 2023.

Where is Deanna Derry Counseling LLC located?

Deanna Derry Counseling LLC is located at 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN 46804. The listed phone number is (260) 422-9372.

What is Deanna Derry Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Deanna Derry Counseling LLC enrolled in Medicare?

Yes. Deanna Derry Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deanna Derry Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Deanna Derry Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deanna Derry Counseling LLC was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.