Rebecca Ann Derocha, MA, LPC, CAAC-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401009909 Issued in MI

Practice address

940 E 8TH St
Traverse City, MI 49686-2893

Phone

(231) 922-4810

NPI assigned

Feb 4, 2010

Last updated

Feb 4, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Oakland Univ, William Beaumont School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Human Services, IncGroup PAC ID 4880586494, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catholic Human Services, Inc

  • Mental Health Counselor
  • Traverse City, MI
  • NPI 1497716047

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Catholic Human Services Inc.

  • Community/Behavioral Health Agency
  • Gaylord, MI
  • NPI 1508060682
  NPD
• Catholic Charities of Michigan Incorporated

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1528117744
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1194057984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GEORGE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864811",
            "telephone_number": "231-590-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862893",
            "telephone_number": "231-922-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROCHA",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, CAAC-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistry for Northern Michigan PLLC
• Isabelle Anne Depa, RN
• Alisha Deponio, AGACNP-BC
• Derek Rice DDS PLLC (Copper Ridge Dental)
• Heather L Dermyer, PH.D.
• Barbara Deroshia
• Leah Derris
• Sara K Devaun, P.T.
• Nicole Devol, LLPC
• Cheryl Lynn Devries

• Addiction (Substance Use Disorder) Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.