JENNIFER DERRICK
NPI 1013676741
Counselor - Mental Health in Shreveport, LA

Active since December 09, 2021
7330 FERN AVE STE 1003, SHREVEPORT, LA 71105(318) 759-7876 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Dec 9, 2021 (2 updates tracked since 2021).

About Jennifer Derrick NPPES

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

JENNIFER DERRICK (NPI 1013676741) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1013676741
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER DERRICK
Location Address7330 FERN AVE STE 1003Shreveport, LA 71105-4988
Mailing Address7330 Fern Ave Ste 1003Shreveport, LA 71105-4988
Sole ProprietorYes
Enumeration DateDecember 9, 2021
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1013676741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7330 FERN AVE STE 1003, Shreveport, LA 71105

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 6

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

Family Medicine (Addiction Medicine)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Case Manager/Care Coordinator
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Counselor (Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Nurse Practitioner (Psychiatric/Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Clinic/Center (Rehabilitation, Substance Use Disorder)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Counselor (Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105

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 Jennifer Derrick's NPI number?

The NPI number for Jennifer Derrick is 1013676741. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Jennifer Derrick located?

Jennifer Derrick practices at 7330 Fern Ave Ste 1003, Shreveport, LA 71105. The listed phone number is (318) 759-7876.

What is Jennifer Derrick'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 Jennifer Derrick was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.