Justin Derry, LMHC is a
Counselor - Mental Health based in Granville, Iowa. Justin Derry is licensed to practice in Iowa (license number 113268) and his current practice location is
4361 Monroe Ave, Granville, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 334-0083.
NPI number for Justin Derry is 1285471656 and his current mailing address is 4361 Monroe Ave, Granville, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285471656.
Healthcare Provider's Profile
Full Name | Justin Derry |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 4361 Monroe Ave, Granville, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285471656
- Provider Enumeration Date: 07/11/2024
- Last Update Date: 07/11/2024
Medical Identifiers
Medical identifiers for Justin Derry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285471656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 113268 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Derry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Justin Derry, LMHC 4361 Monroe Ave, Granville, IA 51022-7531 Ph: (712) 334-0083 | Justin Derry, LMHC 4361 Monroe Ave, Granville, IA 51022-7531 Ph: (712) 334-0083 |
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