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Active NPI 1669858478 Individual Practitioner Male Practitioner

Derreck Johnson , LLPC, DP-C

Counselor - Professional • Owosso, MI

Professional Overview & Biography Verified Profile Summary

Derreck Johnson, LLPC, DP-C is a registered healthcare professional specializing in Counselor - Professional in Owosso, MI. Practice services are available at 1555 INDUSTRIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1555 Industrial Dr

Owosso, MI 488679775

Telephone 9897236791
Fax 9897255061
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Owosso, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Owosso, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401015200

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Haley Clemens , LPC

Counselor - Professional

NPI 1003267881

Licensed Professional Counselor

Hannah Eldridge

Community Health Worker

NPI 1003359365
Breanna Knapp

Community Health Worker

NPI 1003488396
Clay Chadwell

Community Health Worker

NPI 1013466283
Annaka Askanazi , LLMSW

Social Worker - Clinical

NPI 1013782069

Limited Licensed Master Social Worker

Caryn Melotti , LMSW

Social Worker - Clinical

NPI 1023184405

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2017

Registered at 1555 INDUSTRIAL DR, OWOSSO, MI 488679775 (Tel: 9897236791)

📍
Updated Business Mailing Address October 12, 2017

Registered at 1321 S FAYETTE ST, SAGINAW, MI 486021447 (Tel: 9897928000)

👤
Provider Name / Credentials Updated October 12, 2017

Recorded as DERRECK JOHNSON, LLPC, DP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2017

Counselor

NPI Profile Active August 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2015

Registered at 1321 S FAYETTE ST, SAGINAW, MI 486021447 (Tel: 9897928000)

📍
Updated Business Mailing Address August 04, 2015

Registered at 1321 S FAYETTE ST, SAGINAW, MI 486021447 (Tel: 9897928000)

👤
Provider Name / Credentials Updated August 04, 2015

Recorded as DERRECK JOHNSON, MA, DP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Counselor

🟢
Initial NPI Registration & Enumeration August 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669858478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2015
Last Update: October 12, 2017
Sole Proprietor: No

Mailing Address

1321 S Fayette St

Saginaw, MI 486021447

Phone: 9897928000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.