DEREK WISE MA, LCPC
NPI 1740692334
Counselor - Professional in Las Vegas, NV
About Derek Wise Ma, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK WISE MA, LCPC (NPI 1740692334) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (CP1204) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek Wise Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89148
LAS VEGAS, NV 89148
LAS VEGAS, NV 89148
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 Wise's NPI number?
The NPI number for Derek Wise is 1740692334. It was assigned to this individual provider in the NPPES registry on May 30, 2014.
Where is Derek Wise located?
Derek Wise practices at 5510 S Fort Apache Rd, Las Vegas, NV 89148. The listed phone number is (702) 604-2498.
What is Derek Wise's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Derek Wise enrolled in Medicare?
Yes. Derek Wise is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Derek Wise was last updated on May 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
