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

Matthew R Derr, LPC

Individual provider Professional Counselor · NPI 1457139461

Matthew R Derr, LPC is a Mental Health Counselor in Lebanon, Missouri. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Arkansas and Missouri.

Years since qualifying
4
Licensed in
AR, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

860 Lynn St
Lebanon, MO 65536-3810
Phone: (844) 853-8937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Park Dr, Saint Robert, MO 65584-7860 — (844) 853-8937

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2026006788 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence A2302033 (AR)

Record details

NPI number1457139461
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address1800 Community, Clinton, MO 64735-8804

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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