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COURTNEY DERRICK LPCC, LICDC
NPI 1194332676
Counselor - Mental Health in Columbus, OH

Active since September 28, 2020PECOS Enrolled
3409 E BROAD ST, COLUMBUS, OH 43213(380) 201-1101 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2024, Nov 18, 2022, Sep 28, 2020 (3 updates tracked since 2020).

About Courtney Derrick Lpcc, Licdc NPPES

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

COURTNEY DERRICK LPCC, LICDC (NPI 1194332676) is an individual mental health provider in Columbus, Ohio, licensed in Ohio (E.2203162) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hebron.

NPPES Registry Identity

NPI1194332676
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOURTNEY DERRICKCredential: LPCC, LICDC
Location Address3409 E BROAD STColumbus, OH 43213-1064
Mailing Address4214 E Main StWhitehall, OH 43213-3028 · (614) 334-6903
Phone(380) 201-1101
Sole ProprietorNo
Enumeration DateSeptember 28, 2020
Last NPPES UpdateMay 4, 20243 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1194332676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.2203162
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161741 (OH)
3409 E BROAD ST, Columbus, OH 43213
Open in Google Maps ↗

Secondary Practice Location 1

Location 18017 Canyon Rd SEHebron, OH 43025-9301 · Phone (304) 673-3953

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Derrick Lpcc, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

MONIQUA CAULEY
Licensed Practical Nurse
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 334-6903
ALEYA HUBBARD
Case Manager/Care Coordinator
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (380) 201-1101
MARGARET JORDAN
Case Manager/Care Coordinator
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (380) 201-1101
OLILAI NGIRAILILD
Case Manager/Care Coordinator
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (380) 201-1101
DERICO HUGHLETT
Case Manager/Care Coordinator
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (380) 201-1101
RHONDA MYERS
Case Manager/Care Coordinator
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (380) 201-1101
STEFFANIE REESE
Case Manager/Care Coordinator
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (380) 201-1101
CARA IRWIN CDCA
Counselor (Addiction (Substance Use Disorder))
3409 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 334-6903

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 Courtney Derrick's NPI number?

The NPI number for Courtney Derrick is 1194332676. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Courtney Derrick located?

Courtney Derrick practices at 3409 E Broad St, Columbus, OH 43213. The listed phone number is (380) 201-1101.

What is Courtney Derrick's specialty?

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

Is Courtney Derrick enrolled in Medicare?

Yes. Courtney Derrick is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Derrick accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Courtney Derrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Derrick was last updated on May 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.