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CAITLIN DEROUEN LPC
NPI 1619531191
Counselor in Chandler, AZ

Active since April 30, 2019Opted out of Medicare · through Jan 1, 2028
1405 N DOBSON RD STE 1, CHANDLER, AZ 85224(480) 714-1050 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Mar 23, 2026, Nov 18, 2021 and 1 more (4 updates tracked since 2019).

About Caitlin Derouen Lpc NPPES

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

CAITLIN DEROUEN LPC (NPI 1619531191) is an individual counselor in Chandler, Arizona, licensed in Arizona (LPC-17979) and active in the NPI registry since April 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1619531191
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCAITLIN DEROUENCredential: LPC
Location Address1405 N DOBSON RD STE 1Chandler, AZ 85224-8594
Mailing Address11010 S 51st St # 50062Phoenix, AZ 85044-4311 · (480) 714-1050
Phone(480) 714-1050
Sole ProprietorYes
Enumeration DateApril 30, 2019
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1619531191 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 AZ · LPC-17979
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.
1405 N DOBSON RD STE 1, Chandler, AZ 85224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Caitlin Derouen Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

AMANDA MONAGHAN
Social Worker (Clinical)
1405 N DOBSON RD STE 1
CHANDLER, AZ 85224
Maricopa County (602) 753-7057
MRS. GRACE KELLY LEON LPC, CRC
Counselor (Professional)
1405 N DOBSON RD STE 1
CHANDLER, AZ 85224
Maricopa County (480) 771-3530
ARIZONA TRAUMA COUNSELING AND THERAPY, LLC
Counselor (Mental Health)
1405 N DOBSON RD STE 1
CHANDLER, AZ 85224
Maricopa County (602) 753-7057

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 Caitlin Derouen's NPI number?

The NPI number for Caitlin Derouen is 1619531191. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Caitlin Derouen located?

Caitlin Derouen practices at 1405 N Dobson Rd Ste 1, Chandler, AZ 85224. The listed phone number is (480) 714-1050.

What is Caitlin Derouen's specialty?

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

Is Caitlin Derouen enrolled in Medicare?

No. Caitlin Derouen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Caitlin Derouen was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.