1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Counselor
  6. NPI Profile

MARK JOHN DERBAS LPC
NPI 1316205594
Counselor in Kenosha, WI

Active since April 25, 2012
8503 75TH ST., SUITE A, KENOSHA, WI 53142(262) 654-9370(262) 654-9379 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 19, 2021, Dec 12, 2019 (2 updates tracked since 2019).

About Mark John Derbas Lpc NPPES

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

MARK JOHN DERBAS LPC (NPI 1316205594) is an individual counselor in Kenosha, Wisconsin, licensed in Wisconsin (1347-226) and active in the NPI registry since April 2012. He maintains a secondary practice location in Mt Pleasant.

NPPES Registry Identity

NPI1316205594
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMARK JOHN DERBASCredential: LPC
Location Address8503 75TH ST., SUITE AKenosha, WI 53142-7620
Mailing Address8503 75th St., Suite AKenosha, WI 53142-7620 · (262) 654-9370 · Fax (262) 654-9379
Phone(262) 654-9370
Fax(262) 654-9379
Sole ProprietorNo
Enumeration DateApril 25, 2012
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1316205594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 1347-226
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8503 75TH ST., Kenosha, WI 53142
Open in Google Maps ↗

Secondary Practice Location 1

Location 14305 Old Green Bay RdMT Pleasant, WI 53403-9425 · Phone (224) 702-0429

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

NICHOLE MARIE JAMES LPC, NCC
Counselor
8503 75TH ST., SUITE A
KENOSHA, WI 53142
Kenosha County (262) 654-9370

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 Mark Derbas's NPI number?

The NPI number for Mark Derbas is 1316205594. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Mark Derbas located?

Mark Derbas practices at 8503 75th St. Suite A, Kenosha, WI 53142. The listed phone number is (262) 654-9370.

What is Mark Derbas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Mark Derbas accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Mark Derbas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Derbas was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.