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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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: July 19, 2026.

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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 CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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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.