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MR. DERRIK RICHARD HAITHCOCK SR. LCDC LLL
NPI 1922598143
Counselor - Addiction (Substance Use Disorder) in Bainbridge, OH

Active since May 14, 2018
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612(740) 634-3094 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2019, May 14, 2018 (2 updates tracked since 2018).

About Mr. Derrik Richard Haithcock Sr. Lcdc Lll NPPES

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

MR. DERRIK RICHARD HAITHCOCK SR. LCDC LLL (NPI 1922598143) is an individual addiction (substance use disorder) provider in Bainbridge, Ohio, licensed in Ohio (LCDCIII.161470) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1922598143
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DERRIK RICHARD HAITHCOCK SR.Credential: LCDC LLL
Location Address1071 TONG HOLLOW RDBainbridge, OH 45612-1500
Mailing Address401 E Mcmillan StCincinnati, OH 45206-1922 · (513) 221-3350
Phone(740) 634-3094
Sole ProprietorNo
Enumeration DateMay 14, 2018
Last NPPES UpdateApril 10, 20192 updates tracked since enumeration
✔ NPI 1922598143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCIII.161470
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1071 TONG HOLLOW RD, Bainbridge, OH 45612
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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.

KENNETH KUHNS
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
SAMANTHA GRAVES
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
MEGAN M WHITIS CDCA
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
CHRISTINE J YOAKEM
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
JENNIFER BRANHAM
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
PAUL KOEHLER
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
LIGHTHOUSE YOUTH SERVICES INC.
Counselor (Addiction (Substance Use Disorder))
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
CHELSEA MENIKHEIM QMHS
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094

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 Derrik Haithcock's NPI number?

The NPI number for Derrik Haithcock is 1922598143. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Derrik Haithcock located?

Derrik Haithcock practices at 1071 Tong Hollow Rd, Bainbridge, OH 45612. The listed phone number is (740) 634-3094.

What is Derrik Haithcock'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 Derrik Haithcock was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.