IndividualActive
Mary Deraedt
NPI 1194910836 · Mental Health Counselor · Lafayette, IN
Mary Deraedt is a Mental Health Counselor provider in Lafayette, IN (NPI 1194910836).
Provider details
- NPI number
- 1194910836
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 39001884A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
610 Main St
Lafayette, IN 47901-1451
Phone: (765) 423-2638
Street-level locationGet directions
Mailing address
610 Main St
Lafayette, IN 47901-1451
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2007-09-10
Frequently asked questions
- What is Mary Deraedt's NPI number?
- Mary Deraedt's National Provider Identifier (NPI) is 1194910836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Deraedt's specialty?
- Mary Deraedt is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Mary Deraedt located?
- Mary Deraedt's practice location on file with NPPES is 610 Main St, Lafayette, IN 47901-1451.
- What is Mary Deraedt's phone number?
- The practice phone number listed in the NPPES registry for Mary Deraedt is (765) 423-2638.
- Is Mary Deraedt's NPI active?
- Yes — Mary Deraedt's NPI (1194910836) is active in the NPPES registry as of the last update on 2007-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.