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DERECK DAVID ESTRADA LPMHC
NPI 1619440104
Counselor - Mental Health in White City, OR

Active since January 07, 2019
8495 CRATER LAKE HWY # 116B, WHITE CITY, OR 97503(541) 826-2111 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dereck David Estrada Lpmhc NPPES

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

DERECK DAVID ESTRADA LPMHC (NPI 1619440104) is an individual mental health provider in White City, Oregon, licensed in Oregon (C4199) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1619440104
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERECK DAVID ESTRADACredential: LPMHC
Location Address8495 CRATER LAKE HWY # 116BWhite City, OR 97503-3011
Mailing Address639 Shadow WayCentral Point, OR 97502-2526 · (541) 414-7383
Phone(541) 826-2111
Sole ProprietorNo
Enumeration DateJanuary 7, 2019
✔ NPI 1619440104 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 OR · C4199
8495 CRATER LAKE HWY # 116B, White City, OR 97503
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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 Dereck Estrada's NPI number?

The NPI number for Dereck Estrada is 1619440104. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Dereck Estrada located?

Dereck Estrada practices at 8495 Crater Lake Hwy # 116B, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Dereck Estrada'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 Dereck Estrada was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.