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DANIEL G. DEREZINSKI MS RADCI
NPI 1174629927
Counselor - Addiction (Substance Use Disorder) in Plover, WI

Active since September 16, 2006PECOS Enrolled
2450 VINEYARD DR, PLOVER, WI 54467(715) 342-0290 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel G. Derezinski Ms Radci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL G. DEREZINSKI MS RADCI (NPI 1174629927) is an individual addiction (substance use disorder) provider in Plover, Wisconsin, licensed in Wisconsin (13414) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stevens Point.

NPPES Registry Identity

NPI1174629927
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDANIEL G. DEREZINSKICredential: MS RADCI
Location Address2450 VINEYARD DRPlover, WI 54467-3973
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511 · Fax (715) 344-8127
Phone(715) 342-0290
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1174629927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 13414
Also ListedSocial WorkerTaxonomy 104100000X · License 3804 (WI)
2450 VINEYARD DR, Plover, WI 54467
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Secondary Practice Location 1

Location 1209 Prentice St NStevens Point, WI 54481-1162 · Phone (715) 343-3354 · Fax (715) 344-8127

Other Identifiers 1

Other13414WI · Radc I

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel G. Derezinski Ms Radci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBORAH JEAN FURGASON LPC
Counselor (Professional)
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290
MS. CHRISTINA ANNA SCHREINER M.A., CSAC, LPC
Counselor (Professional)
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290
MCHS HOSPITALS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290
OSWALD COUNSELING ASSOCIATES, INC.
Counselor (Mental Health)
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290
LINDA B KEDROWSKI LPC, NCC
Counselor (Professional)
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290
LAURIANNE NICHOLS LCSW
Social Worker (Clinical)
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290
MS. ANGELA M OKON MS, LPC
Counselor (Professional)
2450 VINEYARD DR
PLOVER, WI 54467
Portage County (715) 342-0290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Derezinski's NPI number?

The NPI number for Daniel Derezinski is 1174629927. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Daniel Derezinski located?

Daniel Derezinski practices at 2450 Vineyard Dr, Plover, WI 54467. The listed phone number is (715) 342-0290.

What is Daniel Derezinski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Daniel Derezinski enrolled in Medicare?

Yes. Daniel Derezinski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Derezinski was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.