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MADISON DEROUSSE PLPC
NPI 1568238558
Counselor - Mental Health in Kirkwood, MO

Active since November 30, 2023
214 CLAY STREET, SUITE 215, KIRKWOOD, MO 63122(573) 880-6536 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Jan 10, 2025 (2 updates tracked since 2025).

About Madison Derousse Plpc NPPES

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

MADISON DEROUSSE PLPC (NPI 1568238558) is an individual mental health provider in Kirkwood, Missouri, licensed in Missouri (2024014799) and active in the NPI registry since November 2023. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1568238558
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON DEROUSSECredential: PLPC
Location Address214 CLAY STREET, SUITE 215Kirkwood, MO 63122
Mailing Address214 N Clay Ave Ste 215Kirkwood, MO 63122-4068 · (573) 880-6536
Phone(573) 880-6536
Sole ProprietorNo
Enumeration DateNovember 30, 2023
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1568238558 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 MO · 2024014799
214 CLAY STREET, Kirkwood, MO 63122
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Secondary Practice Location 1

Location 17190 Christopher DrSaint Louis, MO 63129-5514 · Phone (314) 464-2094

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 Madison Derousse's NPI number?

The NPI number for Madison Derousse is 1568238558. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Madison Derousse located?

Madison Derousse practices at 214 Clay Street Suite 215, Kirkwood, MO 63122. The listed phone number is (573) 880-6536.

What is Madison Derousse'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 Madison Derousse was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.