MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R) – Addiction (Substance Use Disorder) Counselor, NPI 1194057984

MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R) is a healthcare provider. based in Traverse city, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC, CAAC-R. They hold a License No. 6401009909 (MI). The NPI Number for MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R) is 1194057984

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R)
NPI
1194057984
Phone
(231) 590-2047
Address
407 GEORGE ST
Enumeration Date
4 February 2010
Last Update Date
4 February 2010

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
2319478110
Graduation Year
2005 (21 years ago)
PAC ID
5294185831
Group Practice PAC ID
4880586494
Professional Enrollment ID
I20231222002052
Address ID
MI496863445TR1000XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R)

  • 407 GEORGE ST

    TRAVERSE CITY, MI 496864811

    Phone: (231) 590-2047

    Type: Mailing

  • 8th Street, Schultz Trailer Park, Wheaton, Traverse County, Minnesota, 56296, United States

    TRAVERSE CITY, MI 496862893

    Phone: (231) 922-4810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231222002052IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880586494View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What NPI should I save for MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R)?
Save NPI 1194057984 if you need a stable reference for MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R).
Is MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R)'s NPI currently valid?
The extract we use shows MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R) as active.
What kind of provider is MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R)?
The page reflects Addiction (Substance Use Disorder) Counselor for MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R). Clinical services aligned with this taxonomy classification.
Where is MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R)'s primary listing?
We display Traverse City, Michigan because that is what the record indicates for MS. REBECCA ANN DEROCHA (MA, LPC, CAAC-R).
What if Traverse City, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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