1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Counselor
  6. NPI Profile

DERRICK ROOSEVELT BLEDSOE CAC-1
NPI 1477683183
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since March 06, 2007
13575 LESURE ST, DETROIT, MI 48227(313) 493-4410(313) 493-4415 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Roosevelt Bledsoe Cac-1 NPPES

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

DERRICK ROOSEVELT BLEDSOE CAC-1 (NPI 1477683183) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1477683183
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK ROOSEVELT BLEDSOECredential: CAC-1
Location Address13575 LESURE STDetroit, MI 48227-3131
Mailing Address13731 Allonby StDetroit, MI 48227-3031 · (313) 493-4410 · Fax (313) 493-4415
Phone(313) 493-4410
Fax(313) 493-4415
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477683183 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
13575 LESURE ST, Detroit, MI 48227
Open in Google Maps ↗

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.

DR. SALEH ALI GHAITH M.D.
Preventive Medicine (Addiction Medicine)
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
SHEILA RENEE EVANS LMSW
Social Worker (Clinical)
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
MS. LAUREN ELIZABETH BILLIU LMSW
Counselor (Addiction (Substance Use Disorder))
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
STAR CENTER, INC.
Clinic/Center (Methadone)
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
MARCIA FREEMAN
Licensed Practical Nurse
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
TRESNA LYNN WHITESIDE
Counselor (Addiction (Substance Use Disorder))
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
JAMES R SANDERS CAC-1
Counselor (Addiction (Substance Use Disorder))
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410
MICHAEL NEVILLS CAC-1
Counselor (Addiction (Substance Use Disorder))
13575 LESURE ST
DETROIT, MI 48227
Wayne County (313) 493-4410

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 Bledsoe's NPI number?

The NPI number for Derrick Bledsoe is 1477683183. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Derrick Bledsoe located?

Derrick Bledsoe practices at 13575 Lesure St, Detroit, MI 48227. The listed phone number is (313) 493-4410.

What is Derrick Bledsoe'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 Derrick Bledsoe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.