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

Individual provider Mental Health Counselor · NPI 1073254223

Katie Derbak, LPC is a Mental Health Counselor in Saint Charles, Missouri. Qualified in 2020, 6 years ago. Practices with A W Stevenson LLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2081 Collier Corporate Pkwy
Saint Charles, MO 63303-6701
Phone: (636) 255-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 237 Creekside Office Dr, Wentzville, MO 63385-3290 — (636) 223-4383

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2025021139 (MO)

Record details

NPI number1073254223
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 3, 2022
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address237 Creekside Office Dr, Wentzville, MO 63385-3290

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice A W Stevenson Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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