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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: July 19, 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
Phone(703) 826-1353
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Reviews for SHIRLEY DEROSA LPC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

KATHERINE BUTTERS
Behavior Technician
11921 FREEDOM DR STE 550
RESTON, VA 20190
Fairfax County (800) 249-1266
COMPASS BEHAVIORAL HEALTH PLLC
Clinic/Center (Multi-Specialty)
11921 FREEDOM DR STE 550
RESTON, VA 20190
Fairfax County (678) 617-2372
DEROSA WELLNESS INNOVATION, LLC
Counselor (Professional)
11921 FREEDOM DR STE 550
RESTON, VA 20190
Fairfax County (703) 826-1353
JULIA GRACE CYR NP
Nurse Practitioner (Psychiatric/Mental Health)
11921 FREEDOM DR STE 550
RESTON, VA 20190
Fairfax County (703) 783-4375

Frequently Asked Questions

What is Shirley Derosa's NPI number?

The NPI number assigned to this healthcare provider is 1730889635, enumerated as an "individual" on March 08, 2023.

Where is the provider located?

The provider is located at 11921 FREEDOM DR STE 550 RESTON, VA 20190 and the phone number is (703) 826-1353.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Shirley Derosa accept?

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.