IndividualActive
Mark Derbas, LPC
NPI 1316205594 · Counselor · Kenosha, WI
Mark Derbas, LPC is a Counselor provider in Kenosha, WI (NPI 1316205594).
Provider details
- NPI number
- 1316205594
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 1347-226 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
8503 75th St.
Suite a
Kenosha, WI 53142-7620
Phone: (262) 654-9370
Fax: (262) 654-9379
Street-level locationGet directions
Mailing address
8503 75th St.
Kenosha, WI 53142-7620
Additional practice locations (1)
- 4305 Old Green Bay RdMt Pleasant, WI 53403-9425Phone: (224) 702-0429
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Frequently asked questions
- What is Mark Derbas's NPI number?
- Mark Derbas's National Provider Identifier (NPI) is 1316205594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Derbas's specialty?
- Mark Derbas is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Mark Derbas located?
- Mark Derbas's practice location on file with NPPES is 8503 75th St., Kenosha, WI 53142-7620.
- What is Mark Derbas's phone number?
- The practice phone number listed in the NPPES registry for Mark Derbas is (262) 654-9370.
- Is Mark Derbas's NPI active?
- Yes — Mark Derbas's NPI (1316205594) is active in the NPPES registry as of the last update on 2021-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.