DERRICK DURRAH (NPI# 1861921207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861921207 |
| Entity Type | Individual |
| Full Name | DERRICK DURRAH |
| Credential | LPC |
| Practice Address |
2615 James Drive Dyer IN 46311 |
| Mailing Address |
2615 James Dr Dyer IN 46311-2270 |
| Practice Telephone | (708) 228-9996 |
| Mailing Telephone | 7082289996 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178004569 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2615 JAMES DRIVE |
| City | DYER |
| State | IN |
| Zip Code | 46311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| 1558585554 | Laura Daray Hoffman | Dermatology | 919 Main St Ste 201, Dyer, IN 46311 | 2007-04-12 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033417977 | Brian P Jula | Counselor | 24 Joliet St, Dyer, IN 46311-1705 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1063024347 | Kimberly Nolan | Counselor | 1236 Monteray Cir, Lawrenceburg, IN 47025-9213 | 2020-08-19 |
| 1477171429 | Karissa Fails Rumsey | Counselor | 11109 Lexi Ln, Fishers, IN 46040-9117 | 2020-07-07 |
| 1255960795 | Ramzi Y. Skaik | Counselor | 303 E Court Ave Ste 434, Jeffersonville, IN 47130-9998 | 2020-04-06 |
| 1649808163 | Nicole Bebiak | Counselor | 7595 Royal Fern Ln, Noblesville, IN 46062-6617 | 2020-03-30 |
| 1497398762 | Kylie Rogalla | Counselor | 22355 Applewood Ln, South Bend, IN 46628-9708 | 2019-10-19 |
| 1023669868 | Karen Fischer | Counselor | 5031 Knollfield Pl, Fort Wayne, IN 46809-9521 | 2019-09-23 |
| 1639729353 | Joel Harris | Counselor | 351 Monroe St, Huntington, IN 46750-3262 | 2019-09-14 |
| 1396395356 | Marla L Godette | Counselor | 11959 Adams Rd, Granger, IN 46530-7519 | 2019-09-12 |
| 1477116986 | Angela M Fisher | Counselor | 5109 N College Ave, Indianapolis, IN 46205-1135 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.