STACEY DEROS
NPI 1396697272
Counselor - Mental Health in Providence, RI
About Stacey Deros NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY DEROS (NPI 1396697272) is an individual mental health provider in Providence, Rhode Island and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Deros is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
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 Stacey Deros's NPI number?
The NPI number for Stacey Deros is 1396697272. It was assigned to this individual provider in the NPPES registry on February 12, 2026.
Where is Stacey Deros located?
Stacey Deros practices at 55 Hope St, Providence, RI 02906. The listed phone number is (401) 228-4115.
What is Stacey Deros's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stacey Deros enrolled in Medicare?
Yes. Stacey Deros is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stacey Deros was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Stacey Deros · NPI 1396697272
Mental Health provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since February 12, 2026.
## Identity
- **NPI:** 1396697272 (Entity type: Individual)
- **Enumerated:** February 12, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 55 HOPE ST, Providence, RI 02906-2001
- **Phone:** (401) 228-4115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396697272) · Data from the CMS NPPES public registry.