Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Derousse, PLPC

Individual provider Mental Health Counselor · NPI 1568238558

Madison Derousse, PLPC is a Mental Health Counselor in Kirkwood, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

214 Clay St Ste 215
Kirkwood, MO 63122
Phone: (573) 880-6536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7190 Christopher Dr, Saint Louis, MO 63129-5514 — (314) 464-2094

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2024014799 (MO)

Record details

NPI number1568238558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLPC
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address214 N Clay Ave Ste 215, Kirkwood, MO 63122-4068

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