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

Mark John Derbas, LPC

Individual provider Counselor · NPI 1316205594

Mark John Derbas, LPC is a Counselor in Kenosha, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

8503 75th St Ste A
Kenosha, WI 53142-7620
Phone: (262) 654-9370
Fax: (262) 654-9379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4305 Old Green Bay Rd, Mt Pleasant, WI 53403-9425 — (224) 702-0429

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1347-226 (WI)

Record details

NPI number1316205594
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 25, 2012
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address8503 75th St., Suite A, Kenosha, WI 53142-7620

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