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DERRICE LAMONTE MARTIN RECOVERY COACH
NPI 1780108043
Peer Specialist in Flint, MI

Active since July 28, 2017
2091 PROFESSIONAL DR, FLINT, MI 48532(810) 732-1652 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2025, Jul 28, 2017 (2 updates tracked since 2017).

About Derrice Lamonte Martin Recovery Coach NPPES

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

DERRICE LAMONTE MARTIN RECOVERY COACH (NPI 1780108043) is an individual peer specialist in Flint, Michigan and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1780108043
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDERRICE LAMONTE MARTINCredential: RECOVERY COACH
Location Address2091 PROFESSIONAL DRFlint, MI 48532-3657
Mailing Address2091 Professional DrFlint, MI 48532-3657 · (810) 732-1652
Phone(810) 732-1652
Sole ProprietorNo
Enumeration DateJuly 28, 2017
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1780108043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2091 PROFESSIONAL DR, Flint, MI 48532
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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.

CASSANDRA ELYSE BOWEN RN
Registered Nurse
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
KARRIE SCHMIDT LLPC
Counselor (Addiction (Substance Use Disorder))
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
MRS. DEBBIE ANN WILSON ICADC, CCS-DP-S
Counselor (Addiction (Substance Use Disorder))
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
CATHERINE ANN BREWER LPC
Counselor (Professional)
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
CATHRYN E. BICKES MA LLP
Psychologist (Counseling)
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
MS. HEATHER NICOLE SCHURICHT PRC
Peer Specialist
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
MRS. KERI GRUBB LMSW
Social Worker (Clinical)
2091 PROFESSIONAL DR
FLINT, MI 48532
Genesee County (810) 732-1652
GLENN WILLIAM EVANS MA, LLPC
Counselor (Addiction (Substance Use Disorder))
2091 PROFESSIONAL DR, SUITE I-1
FLINT, MI 48532
Genesee County (810) 732-1652

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 Derrice Martin's NPI number?

The NPI number for Derrice Martin is 1780108043. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Derrice Martin located?

Derrice Martin practices at 2091 Professional Dr, Flint, MI 48532. The listed phone number is (810) 732-1652.

What is Derrice Martin's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Derrice Martin was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.