Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ericka Derose

Individual provider Mental Health Counselor · NPI 1760336341

Ericka Derose is a Mental Health Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

153 New Dorp Ln
Staten Island, NY 10306-3050
Phone: (646) 258-7970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18-P141040-01 (NY)

Record details

NPI number1760336341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 22, 2026

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