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MR. DERIK GREEN MSW, QMHP-T
NPI 1013595776
Counselor - Mental Health in Virginia Beach, VA

Active since April 01, 2021
291 INDEPENDENCE BLVD STE 532, VIRGINIA BEACH, VA 23462(757) 962-6889 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derik Green Msw, Qmhp-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DERIK GREEN MSW, QMHP-T (NPI 1013595776) is an individual mental health provider in Virginia Beach, Virginia, licensed in Virginia (0734002974) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1013595776
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DERIK GREENCredential: MSW, QMHP-T
Location Address291 INDEPENDENCE BLVD STE 532Virginia Beach, VA 23462-5473
Mailing Address291 Independence Blvd Ste 532Virginia Beach, VA 23462-5473 · (757) 962-6889
Phone(757) 962-6889
Sole ProprietorYes
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1013595776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0734002974
291 INDEPENDENCE BLVD STE 532, Virginia Beach, VA 23462
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

H.O.P.E. FAMILY SUPPORT SERVICES, INC
Counselor (Mental Health)
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 962-6889
LEMUEL N POWELLCOLON SR.
Counselor
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 962-6889
MRS. JESSICA AUSTIN THOMAS MA, ED.S, LMHP-R
Counselor (Mental Health)
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 962-6889
KIMBERLY PENERTON LPC
Counselor (Professional)
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 962-6889
MRS. ROXANNE N COSTLEY MA, LPC RESIDENT
Counselor
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 962-6889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derik Green's NPI number?

The NPI number for Derik Green is 1013595776. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Derik Green located?

Derik Green practices at 291 Independence Blvd Ste 532, Virginia Beach, VA 23462. The listed phone number is (757) 962-6889.

What is Derik Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derik Green was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.