| Kaitlee Derx, | |
|
6539 Anthony Dr, Victor, NY 14564-1441 | |
| (585) 398-8835 | |
| Not Available |
| Full Name | Kaitlee Derx |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6539 Anthony Dr, Victor, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285097931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Insightful Changes Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396597092 PECOS PAC ID: 4385188267 Enrollment ID: O20240702003401 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlee Derx, 94 Forest Meadow Trl, Rochester, NY 14624-1137 Ph: (716) 307-8403 | Kaitlee Derx, 6539 Anthony Dr, Victor, NY 14564-1441 Ph: (585) 398-8835 |
Kaitlyn Coon, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 Fax: 585-398-7376 | |
Jennifer Storch, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7353 State Route 96, Victor, NY 14564 Phone: 585-410-4861 | |
Jeffrey Eveland, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7353 State Route 96, Cedar Hollow Shoppes, Bldg. #1, Victor, NY 14564 Phone: 315-406-0390 | |
Mrs. Kristen Alem Debenedetto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 Fax: 585-398-7376 | |
Dorothy Weishaar, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1296 E Victor Rd Ste C, Victor, NY 14564 Phone: 585-298-2406 | |
Jody Mykins, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 Fax: 585-398-7376 | |
Leanne Marie Perez-dunham, LMHC 007485 Counselor Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-396-8835 Fax: 858-398-7376 |