Active NPI
Caitlin Derouen, LPC
- Counselor
- Chandler, AZ
National Provider Identifier
1619531191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-17979
- Practice address
- 1405 N Dobson Rd Ste 1
Chandler, AZ 85224-8594 - Phone
- (480) 714-1050
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-17979 | AZ | Primary |
Addresses
Primary practice location
1405 N Dobson Rd Ste 1
Chandler, AZ 85224-8594
Mailing address
11010 S 51St St # 50062
Phoenix, AZ 85044-4311
Phone (480) 714-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17979 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1619531191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11010 S 51ST ST # 50062",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444311",
"telephone_number": "480-714-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 N DOBSON RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852248594",
"telephone_number": "480-714-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROUEN",
"first_name": "CAITLIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-17979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.