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MARY DERAEDT
NPI 1194910836
Counselor - Mental Health in Lafayette, IN

Active since September 06, 2007
610 MAIN ST, LAFAYETTE, IN 47901(765) 423-2638 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Deraedt NPPES

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

MARY DERAEDT (NPI 1194910836) is an individual mental health provider in Lafayette, Indiana, licensed in Indiana (39001884A) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1194910836
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY DERAEDT
Location Address610 MAIN STLafayette, IN 47901-1451
Mailing Address610 Main StLafayette, IN 47901-1451 · (765) 423-2638
Phone(765) 423-2638
Sole ProprietorNo
Enumeration DateSeptember 6, 2007
Last NPPES UpdateSeptember 10, 2007
✔ NPI 1194910836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39001884A
610 MAIN ST, Lafayette, IN 47901
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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.

JUDY BLANCHARD LOUDON CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 423-2638
DR. ELIZABETH HEIN AKEY PHD
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 423-2638
LOU ANN WILSON
Social Worker (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 423-2638
MEGAN O'CONNELL
Clinical Nurse Specialist (Psychiatric/Mental Health)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 423-2638
DR. STEPHANIE KING COPELAND PH.D.
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 446-6549
JAMES ASCOUGH PHD
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 423-2638
DR. GREGORY ROBERT WAITKOFF PSY.D.
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 428-2242
TOBYN LINTON
Counselor (Addiction (Substance Use Disorder))
610 MAIN ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 423-2638

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 Mary Deraedt's NPI number?

The NPI number for Mary Deraedt is 1194910836. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Mary Deraedt located?

Mary Deraedt practices at 610 Main St, Lafayette, IN 47901. The listed phone number is (765) 423-2638.

What is Mary Deraedt'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 Mary Deraedt was last updated on September 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.