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DERECK MCCLENDON
NPI 1699224584
Counselor in Milwaukee, WI

Active since October 03, 2016
2454 W LISBON AVE, MILWAUKEE, WI 53205(414) 562-6361(414) 204-8689 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dereck Mcclendon NPPES

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

DERECK MCCLENDON (NPI 1699224584) is an individual counselor in Milwaukee, Wisconsin and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1699224584
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDERECK MCCLENDON
Location Address2454 W LISBON AVEMilwaukee, WI 53205-1413
Mailing Address2454 W Lisbon AveMilwaukee, WI 53205-1413 · (414) 562-6361 · Fax (414) 204-8689
Phone(414) 562-6361
Fax(414) 204-8689
Sole ProprietorNo
Enumeration DateOctober 3, 2016
✔ NPI 1699224584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
2454 W LISBON AVE, Milwaukee, WI 53205
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Other Providers at the Same Location NPPES

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

CROSSROADS COGNITIVE BEHAVIORAL SERVICES
Community/Behavioral Health
2454 W LISBON AVE
MILWAUKEE, WI 53205
Milwaukee County (414) 562-6361

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 Mcclendon's NPI number?

The NPI number for Dereck Mcclendon is 1699224584. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is Dereck Mcclendon located?

Dereck Mcclendon practices at 2454 W Lisbon Ave, Milwaukee, WI 53205. The listed phone number is (414) 562-6361.

What is Dereck Mcclendon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dereck Mcclendon was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.