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MR. BENJAMIN DAVID DERRICK BIBLICAL COUNSELOR
NPI 1356098438
Counselor - Pastoral in Jackson, MS

Active since March 08, 2022
4500 INTERSTATE 55 NORTH FRONTAGE RD, STE 279, JACKSON, MS 39211(601) 405-7445 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Benjamin David Derrick Biblical Counselor NPPES

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

MR. BENJAMIN DAVID DERRICK BIBLICAL COUNSELOR (NPI 1356098438) is an individual pastoral provider in Jackson, Mississippi, licensed in Mississippi (10102004) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1356098438
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. BENJAMIN DAVID DERRICKCredential: BIBLICAL COUNSELOR
Location Address4500 INTERSTATE 55 NORTH FRONTAGE RD, STE 279Jackson, MS 39211
Mailing Address173 Buckhead DrMadison, MS 39110-6615 · (601) 405-7440
Phone(601) 405-7445
Sole ProprietorNo
Enumeration DateMarch 8, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1356098438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License✔ Licensed in MS · 10102004
4500 INTERSTATE 55 NORTH FRONTAGE RD, Jackson, MS 39211
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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 Benjamin Derrick's NPI number?

The NPI number for Benjamin Derrick is 1356098438. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Benjamin Derrick located?

Benjamin Derrick practices at 4500 Interstate 55 North Frontage Rd Ste 279, Jackson, MS 39211. The listed phone number is (601) 405-7445.

What is Benjamin Derrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Benjamin Derrick was last updated on March 8, 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.