MATTHEW DEROSA
NPI 1255762266
Counselor - Mental Health in Vancouver, WA

Active since December 02, 2013
1014 MAIN ST, VANCOUVER, WA 98660(360) 695-1014(360) 750-1374 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Derosa NPPES

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

MATTHEW DEROSA (NPI 1255762266) is an individual mental health provider in Vancouver, Washington, licensed in Washington (CG60426432) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1255762266
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW DEROSA
Location Address1014 MAIN STVancouver, WA 98660-3151
Mailing Address1014 Main StVancouver, WA 98660-3151 · (360) 695-1014 · Fax (360) 750-1374
Fax(360) 750-1374
Sole ProprietorYes
Enumeration DateDecember 2, 2013
NPI 1255762266 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 WA · CG60426432
1014 MAIN ST, Vancouver, WA 98660

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.

Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Counselor
1014 MAIN ST
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN ST
VANCOUVER, WA 98660

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 Matthew Derosa's NPI number?

The NPI number for Matthew Derosa is 1255762266. It was assigned to this individual provider in the NPPES registry on December 2, 2013.

Where is Matthew Derosa located?

Matthew Derosa practices at 1014 Main St, Vancouver, WA 98660. The listed phone number is (360) 695-1014.

What is Matthew Derosa'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 Matthew Derosa was last updated on December 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.