Emily Derouin, LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4078 Issued in CO

Practice address

50 S Steele St Ste 950
Denver, CO 80209-2843

Phone

(906) 553-5266

NPI assigned

Jul 16, 2012

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1164777256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 UMATILLA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211317",
            "telephone_number": "906-553-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 950",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092843",
            "telephone_number": "906-553-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7850 Vance Dr Ste 185",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800032127",
            "country_code": "US",
            "telephone_number": "720-248-7348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROUIN",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mariah Dermody, PMHNP-BC
• Suzanne Deroin, R.N., F.N.P.
• Allie Deroo, NP
• Jennifer Derosa
• Christopher Derrevere, PTA
• Elizabeth Mary Derry, CPM,LM
• Cynthia Derryberry, RDH
• Megan Renee Derschang
• Robert Alexis Dery, MD

• Counseling Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.