MR. DERICK B PALMER ED.D, LPC, LMHC, NCC
NPI 1396901757
Counselor - Professional in Kirtland Afb, NM
About Mr. Derick B Palmer Ed.d, Lpc, Lmhc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DERICK B PALMER ED.D, LPC, LMHC, NCC (NPI 1396901757) is an individual professional provider in Kirtland Afb, New Mexico, licensed in Alaska (713) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Derick B Palmer Ed.d, Lpc, Lmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Derick Palmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Alaska and Oregon enrollments
- 13 clinicians in this Medicare group
Wasilla, AK 99654
- Reassigned Medicare billing, Alaska enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Derick Palmer's NPI number?
The NPI number for Derick Palmer is 1396901757. It was assigned to this individual provider in the NPPES registry on August 4, 2008.
Where is Derick Palmer located?
Derick Palmer practices at 2050 A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3200.
What is Derick Palmer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Derick Palmer enrolled in Medicare?
Yes. Derick Palmer is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Derick Palmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derick Palmer reassigns Medicare benefits to 2 organizations: Sokyahealth Medical Group PC (Portland, OR) and Achieve Medical Alaska LLC (Wasilla, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derick Palmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derick Palmer accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Derick Palmer 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 Derick Palmer was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Derick B Palmer, ED.D, LPC, LMHC, NCC · NPI 1396901757
Professional provider in Kirtland Afb, New Mexico. Individual provider, active in the CMS NPPES registry since August 4, 2008.
## Identity
- **NPI:** 1396901757 (Entity type: Individual)
- **Enumerated:** August 4, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 713 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 2050 A 2ND ST SE, Kirtland Afb, NM 87117-5901
- **Phone:** (505) 846-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sokyahealth Medical Group PC (NPI 1447842232, Portland, OR); Achieve Medical Alaska LLC (NPI 1922648690, Wasilla, AK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396901757) · Data from the CMS NPPES public registry.