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DERRICK JETER
NPI 1154855047
Counselor - Mental Health in Westampton, NJ

Active since April 18, 2017
770 WOODLANE RD, WESTAMPTON, NJ 08060(609) 267-5928 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Derrick Jeter NPPES

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

DERRICK JETER (NPI 1154855047) is an individual mental health provider in Westampton, New Jersey and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1154855047
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK JETER
Location Address770 WOODLANE RDWestampton, NJ 08060-3804
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928
Phone(609) 267-5928
Sole ProprietorNo
Enumeration DateApril 18, 2017
✔ NPI 1154855047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
770 WOODLANE RD, Westampton, NJ 08060
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Other Providers at the Same Location NPPES 20

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

ASHLEY CORALLUZZO
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
ASHLEY D BURKS
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (856) 267-5928
HAYLEY HARDIN
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
SAFA ALSTON
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
BRENDA FORMANEK
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
CONSTANCE JOHNSON
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
CLARICE PULCINE
Social Worker
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
KIAMARAE MATHES
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928

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 Jeter's NPI number?

The NPI number for Derrick Jeter is 1154855047. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Derrick Jeter located?

Derrick Jeter practices at 770 Woodlane Rd, Westampton, NJ 08060. The listed phone number is (609) 267-5928.

What is Derrick Jeter'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 Derrick Jeter was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.