Derosa Wellness Innovation, LLC
NPI 1124716519ActiveOrganization· Counselor, Professional· Reston, VA
Counselor, Professional in Reston, Virginia, registered in NPPES in April 2023. The authorized official on file is Shirley Derosa, LPC, Director.
Overview
| NPI | 1124716519 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2023 |
| Last updated in NPPES | Apr 26, 2023 |
| Certified by provider | Apr 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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