DEREK WADSWORTH
NPI 1700748803
Counselor - Mental Health in Geneseo, NY
Active since November 26, 2025
About Derek Wadsworth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK WADSWORTH (NPI 1700748803) is an individual mental health provider in Geneseo, New York, licensed in New York (129125) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1700748803
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDEREK WADSWORTH
Location Address4600 MILLENNIUM DRGeneseo, NY 14454-1197
Mailing Address4600 Millennium DrGeneseo, NY 14454-1197 · (585) 243-7250
Phone(585) 243-7250
Sole ProprietorYes
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1700748803 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 NY · 129125
4600 MILLENNIUM DR, Geneseo, NY 14454
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700748803, enumerated as an "individual" on November 26, 2025.
The provider is located at 4600 MILLENNIUM DR GENESEO, NY 14454 and the phone number is (585) 243-7250.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
