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MRS. SHANNON METCALF DERRICK LPCC
NPI 1861764011
Counselor - Professional in Louisville, KY

Active since February 03, 2012
1100 E MARKET ST, AFTERCARE PROGRAM, LOUISVILLE, KY 40206(502) 596-1323(502) 596-1416 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Shannon Metcalf Derrick Lpcc NPPES

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

MRS. SHANNON METCALF DERRICK LPCC (NPI 1861764011) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (0949) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1861764011
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNON METCALF DERRICKCredential: LPCC
Location Address1100 E MARKET ST, AFTERCARE PROGRAMLouisville, KY 40206-1838
Mailing Address1100 E Market St, Aftercare ProgramLouisville, KY 40206-1838 · (502) 596-1323 · Fax (502) 596-1416
Phone(502) 596-1323
Fax(502) 596-1416
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
✔ NPI 1861764011 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 KY · 0949
1100 E MARKET ST, Louisville, KY 40206
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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.

THE HOME OF THE INNOCENTS
Community/Behavioral Health
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 596-1088
KATHERINE TOSSMANN
Behavior Analyst
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 777-0416
JUDITH D JOHNSON-FRANCIS
Behavior Analyst
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 596-1000
JENNIFER BURDINE MULLINS M.ED.
Counselor (Professional)
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (606) 310-3399
LUCIE ERLEBACHOVA LMFT
Marriage & Family Therapist
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 596-1000
ROY HARDY
Case Manager/Care Coordinator
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 596-1000
ELISABETH CARON
Case Manager/Care Coordinator
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 596-1220
ANDREA LOPP MSSW, CSW
Social Worker (Clinical)
1100 E MARKET ST
LOUISVILLE, KY 40206
Jefferson County (502) 596-1018

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 Shannon Derrick's NPI number?

The NPI number for Shannon Derrick is 1861764011. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Shannon Derrick located?

Shannon Derrick practices at 1100 E Market St Aftercare Program, Louisville, KY 40206. The listed phone number is (502) 596-1323.

What is Shannon Derrick's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Derrick was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.