DERRICK WOHALI RADFORD MA, LPC
NPI 1770274482
Counselor - Professional in Portland, OR
About Derrick Wohali Radford Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK WOHALI RADFORD MA, LPC (NPI 1770274482) is an individual professional provider in Portland, Oregon, licensed in Oregon (C8621) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derrick Wohali Radford Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Radford's NPI number?
The NPI number for Derrick Radford is 1770274482. It was assigned to this individual provider in the NPPES registry on May 15, 2023. The provider is also known as Wohali Radford Ma, Lpc.
Where is Derrick Radford located?
Derrick Radford practices at 5441 S Macadam Ave Ste A, Portland, OR 97239. The listed phone number is (971) 290-4398.
What is Derrick Radford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Derrick Radford enrolled in Medicare?
Yes. Derrick Radford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Derrick Radford was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Derrick Wohali Radford, MA, LPC · NPI 1770274482
Professional provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1770274482 (Entity type: Individual)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C8621 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5441 S MACADAM AVE STE A, Portland, OR 97239-3822
- **Phone:** (971) 290-4398
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 23, 2026
- **Other identifiers:** Other C8621 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1770274482) · Data from the CMS NPPES public registry.