TAMARA M DEROSIA LCMHC
NPI 1255598355
Counselor - Mental Health in Hydeville, VT

Active since May 18, 2008PECOS EnrolledAccepts Medicare Assignment
912 ROUTE 4A W STE 2, HYDEVILLE, VT 05750(802) 558-3477 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 23, 2020, Feb 19, 2020 (2 updates tracked since 2020).

About Tamara M Derosia Lcmhc NPPES

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

TAMARA M DEROSIA LCMHC (NPI 1255598355) is an individual mental health provider in Hydeville, Vermont, licensed in Vermont (0680000742) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1255598355
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMARA M DEROSIACredential: LCMHC
Location Address912 ROUTE 4A W STE 2Hydeville, VT 05750-9700
Mailing Address20 Adams StFair Haven, VT 05743-1238 · (802) 265-3558
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 18, 2008
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
NPI 1255598355 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 VT · 0680000742
912 ROUTE 4A W STE 2, Hydeville, VT 05750

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tamara M Derosia Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426118282
PECOS Enrollment IDI20240301002778
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255598355, enumerated as an "individual" on May 18, 2008.

The provider is located at 912 ROUTE 4A W STE 2 HYDEVILLE, VT 05750 and the phone number is (802) 558-3477.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.