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DERRICK ANTHONY DEPETRO BS, CADC
NPI 1568984995
Counselor - Addiction (Substance Use Disorder) in Negaunee, MI

Active since July 07, 2017
104 MALTON RD, NEGAUNEE, MI 49866(906) 228-4692(906) 228-2830 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Derrick Anthony Depetro Bs, Cadc NPPES

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

DERRICK ANTHONY DEPETRO BS, CADC (NPI 1568984995) is an individual addiction (substance use disorder) provider in Negaunee, Michigan, licensed in Michigan (2-00996) and active in the NPI registry since July 2017. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568984995
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK ANTHONY DEPETROCredential: BS, CADC
Location Address104 MALTON RDNegaunee, MI 49866-2000
Mailing Address104 Malton RdNegaunee, MI 49866-2000 · (906) 228-4692 · Fax (906) 228-2830
Phone(906) 228-4692
Fax(906) 228-2830
Sole ProprietorNo
Enumeration DateJuly 7, 2017
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1568984995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 2-00996
104 MALTON RD, Negaunee, MI 49866
Open in Google Maps ↗

Secondary Practice Locations 2

Location 197 S 4th St Ste BIshpeming, MI 49849-2168 · Phone (906) 226-9699
Location 21009 W Ridge StMarquette, MI 49855-3997 · Phone (906) 226-6545

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.

NATHAN ZAREMBA
Counselor (Addiction (Substance Use Disorder))
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692
JAMIE-ANN DIETERLE LLMSW
Social Worker (Clinical)
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692
TRINITY ALLEN
Case Manager/Care Coordinator
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (989) 842-0555
ALYSHA KING
Social Worker (Clinical)
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692
KIM OLSON
Counselor (Addiction (Substance Use Disorder))
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692
REBECCA LYNN MABBITT
Counselor (Addiction (Substance Use Disorder))
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692
LAUREN WINN BSA
Counselor (Addiction (Substance Use Disorder))
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692
LYDIA EILEEN MORGAN
Counselor (Addiction (Substance Use Disorder))
104 MALTON RD
NEGAUNEE, MI 49866
Marquette County (906) 228-4692

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 Derrick Depetro's NPI number?

The NPI number for Derrick Depetro is 1568984995. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Derrick Depetro located?

Derrick Depetro practices at 104 Malton Rd, Negaunee, MI 49866. The listed phone number is (906) 228-4692.

What is Derrick Depetro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derrick Depetro was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.