DERRICK SINGLETON LPC
NPI 1568639094
Counselor - Professional in Blytheville, AR

Active since May 14, 2008PECOS Enrolled
514 CHICKASAWBA ST, BLYTHEVILLE, AR 72315(870) 824-2268 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Derrick Singleton Lpc NPPES

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

DERRICK SINGLETON LPC (NPI 1568639094) is an individual professional provider in Blytheville, Arkansas, licensed in Arkansas (P1006043) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Osceola, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568639094
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDERRICK SINGLETONCredential: LPC
Location Address514 CHICKASAWBA STBlytheville, AR 72315-2722
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 14, 2008
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1568639094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1006043
Also ListedCounselorTaxonomy 101Y00000X
514 CHICKASAWBA ST, Blytheville, AR 72315

Secondary Practice Location 1

Location 11487 W Keiser Ave Ste 1Osceola, AR 72370-2806 · Phone (870) 563-4500

Other Identifiers 1

Medicaid227574719AR

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)

Derrick Singleton Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224472956
PECOS Enrollment IDI20240221000725
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derrick Singleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Arkansas enrollment
  • 57 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Case Manager/Care Coordinator
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Case Manager/Care Coordinator
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Internal Medicine (Cardiovascular Disease)
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Social Worker
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Case Manager/Care Coordinator
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Clinic/Center (Adolescent and Children Mental Health)
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315
Social Worker
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315

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 Singleton's NPI number?

The NPI number for Derrick Singleton is 1568639094. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Derrick Singleton located?

Derrick Singleton practices at 514 Chickasawba St, Blytheville, AR 72315. The listed phone number is (870) 824-2268.

What is Derrick Singleton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Derrick Singleton enrolled in Medicare?

Yes. Derrick Singleton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derrick Singleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Singleton reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The 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 Derrick Singleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrick Singleton accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Derrick Singleton 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 Derrick Singleton was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.