Healthcare Provider Details

I. General information

NPI: 1992423883
Provider Name (Legal Business Name): LINDSEY DERUS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7703 RALSTON RD
ARVADA CO
80002-2431
US

IV. Provider business mailing address

4695 GARLAND ST
WHEAT RIDGE CO
80033-3019
US

V. Phone/Fax

Practice location:
  • Phone: 720-484-8342
  • Fax:
Mailing address:
  • Phone: 720-484-8342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021497
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: