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DERRICK LOREN SAMPSON MS, SUDT, MHP
NPI 1679040901
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since October 24, 2018
12201 PACIFIC AVE S, TACOMA, WA 98444(253) 536-6425 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2019, Oct 24, 2018 (2 updates tracked since 2018).

About Derrick Loren Sampson Ms, Sudt, Mhp NPPES

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

DERRICK LOREN SAMPSON MS, SUDT, MHP (NPI 1679040901) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CO60749434) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1679040901
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK LOREN SAMPSONCredential: MS, SUDT, MHP
Location Address12201 PACIFIC AVE STacoma, WA 98444-5126
Mailing Address5001 112th St ETacoma, WA 98446-5307 · (253) 536-6425
Phone(253) 536-6425
Sole ProprietorNo
Enumeration DateOctober 24, 2018
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1679040901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO60749434
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CG60832062 (WA)
12201 PACIFIC AVE S, Tacoma, WA 98444
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Other Providers at the Same Location NPPES 14

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

MS. KIMBERLY ELIZABETH SPARKS CDP
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
MS. DEBORAH KAYE BROWN CDP-T
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
AMBER NOELLE CATRON CDP-T
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
AMANDA DAWN KIDNEY
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
PROSPERITY COUNSELING & TREATMENT SERVICES INC.
Community/Behavioral Health
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
GAGANDEEP KAUR NP
Nurse Practitioner (Adult Health)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-5448
VIRGINIA LEE LAFAELE CO61226413
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
COURTNEY ANN ISENBARGER SUDPT
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 444-2395

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 Sampson's NPI number?

The NPI number for Derrick Sampson is 1679040901. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Derrick Sampson located?

Derrick Sampson practices at 12201 Pacific Ave S, Tacoma, WA 98444. The listed phone number is (253) 536-6425.

What is Derrick Sampson'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 Sampson was last updated on November 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.