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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. TIFFANY R DERRICK NCC, LPC, LCPC
NPI 1124399589
Counselor - Professional in Gainesville, GA

Active since January 17, 2012
629 DAWSONVILLE HWY STE 2201, GAINESVILLE, GA 30501(678) 701-8477(229) 516-1395 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Oct 17, 2019, Feb 1, 2016 (3 updates tracked since 2016).

About Mrs. Tiffany R Derrick Ncc, Lpc, Lcpc NPPES

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

MRS. TIFFANY R DERRICK NCC, LPC, LCPC (NPI 1124399589) is an individual professional provider in Gainesville, Georgia, licensed in Georgia (LPC008265) and active in the NPI registry since January 2012. She maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1124399589
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TIFFANY R DERRICKCredential: NCC, LPC, LCPC
Location Address629 DAWSONVILLE HWY STE 2201Gainesville, GA 30501-2632
Mailing Address629 Dawsonville Hwy Ste 2201Gainesville, GA 30501-2632 · (678) 701-8477 · Fax (229) 516-1395
Phone(678) 701-8477
Fax(229) 516-1395
Sole ProprietorNo
Enumeration DateJanuary 17, 2012
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1124399589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC008265✔ Licensed in IL · 180.009330✔ Licensed in MD · LC18119
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
629 DAWSONVILLE HWY STE 2201, Gainesville, GA 30501
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Secondary Practice Location 1

Location 13675 Crestwood Pkwy NW Ste 400Duluth, GA 30096-5054 · Phone (678) 701-8477 · Fax (229) 516-1395

Other Providers at the Same Location NPPES 3

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

ASHLYN BRADSHAW
Counselor (Mental Health)
629 DAWSONVILLE HWY STE 2201
GAINESVILLE, GA 30501
Hall County (678) 701-8477
KIMBERLY WIGGINS
Social Worker
629 DAWSONVILLE HWY STE 2201
GAINESVILLE, GA 30501
Hall County (678) 701-8477
SARAH ALEXANDRIA PRATTS MS
Counselor (Mental Health)
629 DAWSONVILLE HWY STE 2201
GAINESVILLE, GA 30501
Hall County (678) 701-8477

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 Tiffany Derrick's NPI number?

The NPI number for Tiffany Derrick is 1124399589. It was assigned to this individual provider in the NPPES registry on January 17, 2012.

Where is Tiffany Derrick located?

Tiffany Derrick practices at 629 Dawsonville Hwy Ste 2201, Gainesville, GA 30501. The listed phone number is (678) 701-8477.

What is Tiffany Derrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tiffany Derrick was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.