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CAROL A DERUCKI LMHC
NPI 1831421668
Counselor - Mental Health in Goshen, IN

Active since February 04, 2010PECOS Enrolled
330 LAKEVIEW DR, GOSHEN, IN 46528(574) 537-2652(574) 537-2652 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol A Derucki Lmhc NPPES

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

CAROL A DERUCKI LMHC (NPI 1831421668) is an individual mental health provider in Goshen, Indiana, licensed in Indiana (39002267A) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831421668
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROL A DERUCKICredential: LMHC
Location Address330 LAKEVIEW DRGoshen, IN 46528-7000
Mailing Address330 Lakeview DrGoshen, IN 46528-7000 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 537-2652
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateFebruary 4, 2010
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1831421668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39002267A
Also ListedCounselorTaxonomy 101Y00000X
330 LAKEVIEW DR, Goshen, IN 46528
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol A Derucki Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carol Derucki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oaklawn Psychiatric Center, Inc.
8.6 mi
Mental Health (Including Community Mental Health Center)
2600 OAKLAND AVE
Elkhart, IN 46517
  • Reassigned Medicare billing, Indiana enrollment
  • 116 clinicians in this Medicare group
NPI 1598847212 (574) 533-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LAVERN D RABER
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
OAKLAWN PSYCHIATRIC CENTER, INC.
Pharmacy
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
MANDY MORETTI MSW
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
BARBARA D SPRINGER N.P.
Nurse Practitioner (Family)
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
LINDA CHRISTOPHEL
Social Worker (Clinical)
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 537-2680
CHARLENE KOENIG MA
Counselor (Mental Health)
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
KIMBERLY J MARTIN MSW
Social Worker
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234
TRAVIS SILVEUS MA
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Elkhart County (574) 533-1234

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 Carol Derucki's NPI number?

The NPI number for Carol Derucki is 1831421668. It was assigned to this individual provider in the NPPES registry on February 4, 2010.

Where is Carol Derucki located?

Carol Derucki practices at 330 Lakeview Dr, Goshen, IN 46528. The listed phone number is (574) 537-2652.

What is Carol Derucki's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carol Derucki enrolled in Medicare?

Yes. Carol Derucki is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Derucki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Derucki reassigns Medicare benefits to Oaklawn Psychiatric Center, Inc. (Elkhart, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Derucki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Derucki accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Carol Derucki 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 Carol Derucki was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.