Derosa Wellness Innovation, LLC
NPI 1124716519 · Professional Counselor · Reston, VA
Derosa Wellness Innovation, LLC is a Professional Counselor organization in Reston, VA (NPI 1124716519).
Provider details
- NPI number
- 1124716519
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shirley Derosa, Director(703) 826-1353
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Frequently asked questions
- What is Derosa Wellness Innovation, LLC's NPI number?
- Derosa Wellness Innovation, LLC's National Provider Identifier (NPI) is 1124716519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derosa Wellness Innovation, LLC?
- Derosa Wellness Innovation, LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Derosa Wellness Innovation, LLC located?
- Derosa Wellness Innovation, LLC's practice location on file with NPPES is 11921 Freedom Dr Ste 550, Reston, VA 20190-5635.
- What is Derosa Wellness Innovation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Derosa Wellness Innovation, LLC is (703) 826-1353.
- Who is the authorized official for Derosa Wellness Innovation, LLC?
- The authorized official listed on Derosa Wellness Innovation, LLC's NPPES record is Shirley Derosa, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derosa Wellness Innovation, LLC's NPI active?
- Yes — Derosa Wellness Innovation, LLC's NPI (1124716519) is active in the NPPES registry as of the last update on 2023-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.