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DEREK BASTIAN MA
NPI 1336099647
Counselor - Mental Health in Glen Carbon, IL

Active since January 28, 2026
88 S MAIN ST, GLEN CARBON, IL 62034(618) 288-8085 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Bastian Ma NPPES

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

DEREK BASTIAN MA (NPI 1336099647) is an individual mental health provider in Glen Carbon, Illinois and active in the NPI registry since January 2026. He maintains a secondary practice location in Alton.

NPPES Registry Identity

NPI1336099647
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDEREK BASTIANCredential: MA
Location Address88 S MAIN STGlen Carbon, IL 62034-1415
Mailing Address88 S Main StGlen Carbon, IL 62034-1415 · (618) 288-8085
Phone(618) 288-8085
Sole ProprietorNo
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1336099647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
88 S MAIN ST, Glen Carbon, IL 62034
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Secondary Practice Location 1

Location 1200 W 3rd St Ste 705&706Alton, IL 62002-6180 · Phone (618) 288-8085

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.

DAVIDE PACE
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
EMILY FEDRIGON
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
WENDY ANN SCHWARZ
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
SARAH GOSHORN
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
ESTHER GREEN
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
KELSEY GIGER
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
SARAH ANNE KIRKBRIDE MS
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085
NATALIA NIETO
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Madison County (618) 288-8085

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 Derek Bastian's NPI number?

The NPI number for Derek Bastian is 1336099647. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Derek Bastian located?

Derek Bastian practices at 88 S Main St, Glen Carbon, IL 62034. The listed phone number is (618) 288-8085.

What is Derek Bastian'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 Derek Bastian was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.