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DEREK MARTIN SUDCC
NPI 1720788862
Counselor - Addiction (Substance Use Disorder) in Auburn, CA

Active since March 07, 2023

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Derek Martin Sudcc NPPES

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

DEREK MARTIN SUDCC (NPI 1720788862) is an individual addiction (substance use disorder) provider in Auburn, California, licensed in California (9783) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1720788862
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEREK MARTINCredential: SUDCC
Location Address11512 B AVEAuburn, CA 95603-2605
Mailing Address11512 B AveAuburn, CA 95603-2605 · (530) 886-2933
Phone(530) 886-2933
Sole ProprietorNo
Enumeration DateMarch 7, 2023
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1720788862 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 CA · 9783
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11512 B AVE, Auburn, CA 95603
Open in Google Maps ↗

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.

TOM A DRAKE
Social Worker (Clinical)
11512 B AVE
AUBURN, CA 95603
Placer County (530) 889-7240
MICHAEL SHAWN GUISANDE
Counselor (Mental Health)
11512 B AVE
AUBURN, CA 95603
Placer County (530) 889-7182
MARGUERET ANN FREED
Counselor (Mental Health)
11512 B AVE
AUBURN, CA 95603
Placer County (530) 889-7240
FRANK AVILA
Counselor (Mental Health)
11512 B AVE
AUBURN, CA 95603
Placer County (530) 886-2966
MS. KELLY COUTURE LMFT
Marriage & Family Therapist
11512 B AVE
AUBURN, CA 95603
Placer County (530) 889-7240
DEBRA ALICE WINTERS
Day Training/Habilitation Specialist
11512 B AVE
AUBURN, CA 95603
Placer County (530) 320-2487
DANIELLE GOLD LCSW
Social Worker (Clinical)
11512 B AVE
AUBURN, CA 95603
Placer County (530) 886-3415
MR. ROBERT C BLODGETT C.A.T.C.
Counselor (Addiction (Substance Use Disorder))
11512 B AVE
AUBURN, CA 95603
Placer County (530) 886-2933

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 Derek Martin's NPI number?

The NPI number for Derek Martin is 1720788862. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Derek Martin located?

Derek Martin practices at 11512 B Ave, Auburn, CA 95603. The listed phone number is (530) 886-2933.

What is Derek Martin'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 Derek Martin was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.