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DERRICK ELTON CRIM LADC
NPI 1144515248
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since June 16, 2011
1911 PLEASANT AVE, MINNEAPOLIS, MN 55403(612) 874-9811(612) 874-9820 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Elton Crim Ladc NPPES

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

DERRICK ELTON CRIM LADC (NPI 1144515248) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (300252) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1144515248
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK ELTON CRIMCredential: LADC
Location Address1911 PLEASANT AVEMinneapolis, MN 55403-3506
Mailing Address1911 Pleasant AveMinneapolis, MN 55403-3506 · (612) 874-9811 · Fax (612) 874-9820
Phone(612) 874-9811
Fax(612) 874-9820
Sole ProprietorNo
Enumeration DateJune 16, 2011
✔ NPI 1144515248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300252
1911 PLEASANT AVE, Minneapolis, MN 55403
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Other Identifiers 1

Other300252MN · Licensed Alcohol Aned Drug Counselor

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.

DOUGLAS CARROLL JONES
Counselor (Addiction (Substance Use Disorder))
1911 PLEASANT AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 874-9811
CAROL J BARNES LADC
Counselor (Addiction (Substance Use Disorder))
1911 PLEASANT AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 874-9811
MR. BRIAN LIESER
Counselor (Addiction (Substance Use Disorder))
1911 PLEASANT AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 874-9811

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 Derrick Crim's NPI number?

The NPI number for Derrick Crim is 1144515248. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Derrick Crim located?

Derrick Crim practices at 1911 Pleasant Ave, Minneapolis, MN 55403. The listed phone number is (612) 874-9811.

What is Derrick Crim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derrick Crim was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.