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DERRICK BOGER
NPI 1366250573
Counselor - Mental Health in Greensboro, NC

Active since December 19, 2024
2309 W CONE BLVD STE 220, GREENSBORO, NC 27408(336) 491-5706 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Boger NPPES

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

DERRICK BOGER (NPI 1366250573) is an individual mental health provider in Greensboro, North Carolina, licensed in North Carolina (A20699) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1366250573
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK BOGER
Location Address2309 W CONE BLVD STE 220Greensboro, NC 27408-4047
Mailing Address4720 Chesterfield PlJamestown, NC 27282-8656
Phone(336) 491-5706
Sole ProprietorYes
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1366250573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A20699
2309 W CONE BLVD STE 220, Greensboro, NC 27408
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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 Derrick Boger's NPI number?

The NPI number for Derrick Boger is 1366250573. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Derrick Boger located?

Derrick Boger practices at 2309 W Cone Blvd Ste 220, Greensboro, NC 27408. The listed phone number is (336) 491-5706.

What is Derrick Boger'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 Boger was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.