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DEREK BEASLEY CDCA
NPI 1841803236
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since August 26, 2020
4124 LINDEN AVE, DAYTON, OH 45432(937) 422-2902 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Beasley Cdca NPPES

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

DEREK BEASLEY CDCA (NPI 1841803236) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (170758) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1841803236
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEREK BEASLEYCredential: CDCA
Location Address4124 LINDEN AVEDayton, OH 45432-3018
Mailing Address2612 Lynhurst AveDayton, OH 45420-2712 · (937) 422-2902
Phone(937) 422-2902
Sole ProprietorYes
Enumeration DateAugust 26, 2020
NPPES CertifiedAugust 25, 2020
✔ NPI 1841803236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 170758
4124 LINDEN AVE, Dayton, OH 45432
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TENA M MCNEIL LICDC
Counselor (Addiction (Substance Use Disorder))
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (844) 300-0102
MR. TAYLOR CHRISTIAN BEATTY-FRAZIER PEER SERVICES
Peer Specialist
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
MICHAEL WARD
Counselor (Addiction (Substance Use Disorder))
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
MS. JANIELLE TENISE DAVIS LPN
Licensed Practical Nurse
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
DAWNIECE ROSS
Case Manager/Care Coordinator
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
KAMEO R TOOSON CDCA II
Counselor (Addiction (Substance Use Disorder))
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
ANTHONY RAY BROWN
Case Manager/Care Coordinator
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
CHERIKA WILLIAMS
Social Worker (Clinical)
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961

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 Beasley's NPI number?

The NPI number for Derek Beasley is 1841803236. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Derek Beasley located?

Derek Beasley practices at 4124 Linden Ave, Dayton, OH 45432. The listed phone number is (937) 422-2902.

What is Derek Beasley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derek Beasley was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.