Daniel Derezinski, MS RADCI
NPI 1174629927 · Addiction (Substance Use Disorder) Counselor · Plover, WI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Derezinski, MS RADCI is a Addiction (Substance Use Disorder) Counselor provider in Plover, WI (NPI 1174629927).
Provider details
- NPI number
- 1174629927
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MS RADCI
- Sex
- Male
- Sole proprietor
- No
- License
- 3804 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 209 Prentice St NStevens Point, WI 54481-1162Phone: (715) 343-3354Fax: (715) 344-8127
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Frequently asked questions
- What is Daniel Derezinski's NPI number?
- Daniel Derezinski's National Provider Identifier (NPI) is 1174629927, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Derezinski's specialty?
- Daniel Derezinski is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Daniel Derezinski located?
- Daniel Derezinski's practice location on file with NPPES is 2450 Vineyard Dr, Plover, WI 54467-3973.
- What is Daniel Derezinski's phone number?
- The practice phone number listed in the NPPES registry for Daniel Derezinski is (715) 342-0290.
- Does Daniel Derezinski accept Medicare?
- Daniel Derezinski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Derezinski's NPI active?
- Yes — Daniel Derezinski's NPI (1174629927) is active in the NPPES registry as of the last update on 2024-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.