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Derosa Wellness Innovation, LLC

Professional Counselor in Reston, VA · enumerated 2023 · authorized official Shirley Derosa, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124716519

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Registry record

Entity type Organization (Type 2)
Legal business name Derosa Wellness Innovation, LLC
Practice address 11921 Freedom Dr Ste 550, Reston, VA, 20190
Phone (703) 826-1353
Enumeration date Apr 25, 2023
Last updated in NPPES Apr 26, 2023

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Shirley Derosa
Title Director
Phone (703) 826-1353

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Derosa Wellness Innovation, LLC?
NPPES lists Shirley Derosa (Director) as the authorized official for this organization.
What is the NPI number for Derosa Wellness Innovation, LLC?
The NPI for Derosa Wellness Innovation, LLC is 1124716519, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-26.