Lauren Deroo, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

680197371 Issued in MI

Practice address

35 1/2 W 8TH St Ste 4
Holland, MI 49423-3158

Phone

(616) 886-4440

NPI assigned

Oct 21, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Macatawa Wellness LLC

  • Community/Behavioral Health Agency
  • Holland, MI
  • NPI 1053074401
  NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1841953262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 WILDWOOD RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237356",
            "telephone_number": "616-886-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 1/2 W 8TH ST STE 4",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233158",
            "telephone_number": "616-886-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROO",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "680197371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Denczek, LMSW
• Anna Reed Denslow, OTR/L
• Elizabeth Dephouse, BS
• Jack O Derks, MD
• Mary M Derksen, CNS
• Kelsey Deroos
• Shelly L Deruiter, PT
• Eric John Desantis, LLPC
• Ireana Destiney, LLMSW
• Daniel A Dethmers, MD

• Mental Health Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.