SHIRLEY DEROSA LPC
NPI 1730889635
Counselor - Professional in Reston, VA

Active since March 08, 2023
11921 FREEDOM DR STE 550, RESTON, VA 20190(703) 826-1353 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shirley Derosa Lpc NPPES

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

SHIRLEY DEROSA LPC (NPI 1730889635) is an individual professional provider in Reston, Virginia, licensed in Virginia (0701012114) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1730889635
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHIRLEY DEROSACredential: LPC
Location Address11921 FREEDOM DR STE 550Reston, VA 20190-5635
Mailing Address3043 Bronzegate CtHerndon, VA 20171-1532
Sole ProprietorYes
Enumeration DateMarch 8, 2023
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1730889635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701012114
11921 FREEDOM DR STE 550, Reston, VA 20190

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Multi-Specialty)
11921 FREEDOM DR STE 550
RESTON, VA 20190
Nurse Practitioner (Psychiatric/Mental Health)
11921 FREEDOM DR STE 550
RESTON, VA 20190
Counselor (Professional)
11921 FREEDOM DR STE 550
RESTON, VA 20190
Behavior Technician
11921 FREEDOM DR STE 550
RESTON, VA 20190

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 Shirley Derosa's NPI number?

The NPI number for Shirley Derosa is 1730889635. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Shirley Derosa located?

Shirley Derosa practices at 11921 Freedom Dr Ste 550, Reston, VA 20190. The listed phone number is (703) 826-1353.

What is Shirley Derosa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Shirley Derosa accept?

Health plans from Providence Health Plan list Shirley Derosa 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 Shirley Derosa was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.