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JOHN DEROIN
NPI 1184012379
Counselor - Mental Health in Coburg, OR

Active since December 23, 2014
1 SERENITY LN, COBURG, OR 97408(541) 687-1110 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, May 13, 2024, Mar 20, 2023 (3 updates tracked since 2023).

About John Deroin NPPES

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

JOHN DEROIN (NPI 1184012379) is an individual mental health provider in Coburg, Oregon, licensed in Oregon (22-QMHP-R-1561) and active in the NPI registry since December 2014. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184012379
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN DEROIN
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing Address1 Serenity LnCoburg, OR 97408-9350 · (541) 687-1110
Phone(541) 687-1110
Sole ProprietorNo
Enumeration DateDecember 23, 2014
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1184012379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 22-QMHP-R-1561
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 06-03-62 (OR)
1 SERENITY LN, Coburg, OR 97408
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1151 W 7th Ave, Room #163Eugene, OR 97401-1100 · Phone (541) 682-4464
Location 22411 Martin Luther King Jr BlvdEugene, OR 97401-5824 · Phone (541) 682-3608

Other Providers at the Same Location NPPES 20

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

EMMITT ADAIR QMHP, CADC III, SAP
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 284-8605
MASON ANTHONY MARIN CADC-R, CRM 1
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 606-3308
JENAE HULSEY KATELYN HULSEY
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
JACLYN BOGNER MS
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
SARAH ELIZABETH BUCK QMHA-R
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HEATHERANN CHARLENE HELMS CADCR
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 513-6855
CHRISTOPHER BOWLING
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HANNAH KREEGER
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110

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 John Deroin's NPI number?

The NPI number for John Deroin is 1184012379. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is John Deroin located?

John Deroin practices at 1 Serenity Ln, Coburg, OR 97408. The listed phone number is (541) 687-1110.

What is John Deroin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for John Deroin was last updated on June 27, 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.