Allison Deroeck Psychotherapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ALLISON DEROECK PSYCHOTHERAPY LLC

Practice address

1751 Meriweather Dr
Watkinsville, GA 30677-7792

Phone

(229) 560-2310

NPI assigned

Jul 7, 2025

Last updated

Jul 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allison Deroeck, LCSWNPI 1750041299

Title

Owner

Phone

(229) 560-2310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Deroeck, LCSW

  • Social Worker
  • Watkinsville, GA
  • NPI 1750041299
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1104716745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 OAK MEADOW DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054551",
            "telephone_number": "229-560-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 MERIWEATHER DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777792",
            "telephone_number": "229-560-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON DEROECK PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "DEROECK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-560-2310",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aletheia Health & Wellness LLC
• Gena D Alexander-Albert, MD
• Jan Brooks Allen, LPC
• Judith Carr Allen, OTR
• William David Allen, DMD
• Ana Alviz
• Amanda D Dyer, PHD, Inc
• Victoria Maxwell Amaral
• Ashley Amatriain, PT, DPT
• Amy K Heesacker, PHD, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.