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BRENDA LYNN DERRY ACIT II, MATS
NPI 1225762636
Counselor - Addiction (Substance Use Disorder) in Muncie, IN

Active since July 12, 2022
3640 N BRIARWOOD LN, MUNCIE, IN 47304(463) 777-5621(765) 288-6520 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Lynn Derry Acit Ii, Mats NPPES

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

BRENDA LYNN DERRY ACIT II, MATS (NPI 1225762636) is an individual addiction (substance use disorder) provider in Muncie, Indiana and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1225762636
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRENDA LYNN DERRYCredential: ACIT II, MATS
Location Address3640 N BRIARWOOD LNMuncie, IN 47304-6375
Mailing Address3640 N Briarwood LnMuncie, IN 47304-6375 · (463) 777-5621 · Fax (765) 288-6520
Phone(463) 777-5621
Fax(765) 288-6520
Sole ProprietorNo
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1225762636 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
3640 N BRIARWOOD LN, Muncie, IN 47304
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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.

MRS. TIFFANY MARIE WITT LPN
Licensed Practical Nurse
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (463) 777-5770
DAWN RAQUEL GUESS LPN
Licensed Practical Nurse
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (463) 777-5625
ANGEL CAZARES
Licensed Practical Nurse
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (463) 777-5770
JORDAN KATHLEEN BUTLER
Counselor (Addiction (Substance Use Disorder))
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (765) 587-3667
MELODY SHIDELER
Licensed Practical Nurse
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (463) 777-5770
MARI B GLASER
Counselor (Addiction (Substance Use Disorder))
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (765) 881-0089
SARAH DIANNE HAHN LPN
Licensed Practical Nurse
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (765) 587-3667
AMBER MICHELLE GRANGER
Counselor (Addiction (Substance Use Disorder))
3640 N BRIARWOOD LN
MUNCIE, IN 47304
Delaware County (463) 777-9424

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 Brenda Derry's NPI number?

The NPI number for Brenda Derry is 1225762636. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Brenda Derry located?

Brenda Derry practices at 3640 N Briarwood Ln, Muncie, IN 47304. The listed phone number is (463) 777-5621.

What is Brenda Derry'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 Brenda Derry was last updated on July 12, 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.