DERICK ALLEN EIDSON
NPI 1811339294
Counselor - Mental Health in Ada, OK
About Derick Allen Eidson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERICK ALLEN EIDSON (NPI 1811339294) is an individual mental health provider in Ada, Oklahoma and active in the NPI registry since July 2013.
NPPES Registry Identity
Specialties & Licenses
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 Derick Eidson's NPI number?
The NPI number for Derick Eidson is 1811339294. It was assigned to this individual provider in the NPPES registry on July 25, 2013.
Where is Derick Eidson located?
Derick Eidson practices at 19108 County Road 3560, Ada, OK 74820. The listed phone number is (580) 421-1800.
What is Derick Eidson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Derick Eidson was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Derick Allen Eidson · NPI 1811339294
Mental Health provider in Ada, Oklahoma. Individual provider, active in the CMS NPPES registry since July 25, 2013.
## Identity
- **NPI:** 1811339294 (Entity type: Individual)
- **Enumerated:** July 25, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19108 COUNTY ROAD 3560, Ada, OK 74820-0177
- **Phone:** (580) 421-1800
## Record status
- **NPPES last updated:** July 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1811339294) · Data from the CMS NPPES public registry.