DEREK LEON ALLEN LPC - NPI 1790123719

Q: What is Derek Allen's NPI number?

The NPI number for Derek Allen is 1790123719. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Derek Allen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Derek Allen was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Derek Leon Allen Lpc NPPES

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

DEREK LEON ALLEN LPC (NPI 1790123719) is an individual professional provider in Mesa, Arizona, licensed in Arizona (LPC-15310) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790123719

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDEREK LEON ALLENCredential: LPC

Location Address1234 S POWER RD STE 100Mesa, AZ 85206-3740

Mailing Address1234 S Power Rd Ste 100Mesa, AZ 85206-3740 · (602) 633-5032 · Fax (602) 633-5032

Phone(602) 633-5032

Fax(602) 633-5032

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 12, 2013

Last NPPES UpdateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1790123719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-15310

1234 S POWER RD STE 100, Mesa, AZ 85206

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Secondary Practice Location 1

Location 11361 S Swallow LnGilbert, AZ 85296-9685 · Phone (480) 452-4483

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 Leon Allen Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103326921

PECOS Enrollment IDI20251007004254

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATASHA NATASHA HATCH

Marriage & Family Therapist