Rebecca Ann Derocha, MA, LPC, CAAC-R
NPI 1194057984ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Traverse City, MI
Counselor, Addiction (Substance Use Disorder) (MA, LPC, CAAC-R) in Traverse City, Michigan, trained at Oakland Univ, William Beaumont School of Medicine (class of 2005). Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1194057984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LPC, CAAC-R |
| Sole proprietor | No |
| NPI issued | Feb 4, 2010 |
| Last updated in NPPES | Feb 4, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 6401009909 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Medical school | Oakland Univ, William Beaumont School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Mental Health Counselor |
Medical group
- Catholic Human Services, IncMancelona, MI · 14 clinicians
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All 33 addiction counselors in Traverse City · All addiction counselors in Michigan