Alyx Milani Dereu, LCPC
Counselor, Mental Health in Rock Island, IL. Individual provider (NPI-1).
NPI number1982149217
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1982149217
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alyx Milani Dereu
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2016
- Certification date
- Dec 8, 2022
- Last updated
- Dec 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 180.014287 | IL | Yes |
Practice location
2701 17th StRock Island, IL 61201-5351
Phone 309-779-2031
Mailing address
2701 17th StRock Island, IL 61201-5351
Phone 309-779-2031
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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