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Active NPI 1205330263 Individual Practitioner Male Practitioner

Derrick Daggett , LPC

Counselor - Professional • Columbus, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derrick Daggett, LPC is a certified Counselor - Professional practicing in Columbus, OH. With approximately 7 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2019, Derrick Daggett delivers high-quality medical care to the local community at 4897 KARL RD.

Derrick Daggett is affiliated with Maryhaven Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4897 Karl Rd

Columbus, OH 432295147

Telephone 6142613196
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Columbus, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -6.7 yrs vs City Avg
City Avg: 13.7 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
650 Specialists

Practicing in Columbus, OH (6923 Statewide)

Telehealth Adoption Rate
3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daggett (7 Years) 7 Yrs
Columbus Specialty Average (13.7 Years) 13.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2202930-SUPV

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Counselor, Social Worker & Mft Board
C.1901952 (OH)

Hospital & Practice Group Affiliations

Maryhaven Inc

1791 Alum Creek Dr, Columbus, OH 432071708

Phone: 6144458131

Secondary Practice Locations

299 Cramer Creek Ct

Dublin, OH 430172586

Phone: 6148895722

Practice Associates & Co-Workers

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

6 Associated Practitioners
Shanita Brown

Case Manager/Care Coordinator

NPI 1104584218
Lonita Tuff

Case Manager/Care Coordinator

NPI 1255099339
Leesa Evans , LSW

Social Worker - Clinical

NPI 1316712276

Licensed Social Worker

Shucaeda Watson

Case Manager/Care Coordinator

NPI 1518625698
Leslie Crevar , LPC

Counselor - Mental Health

NPI 1629574785

Licensed Professional Counselor

Katherine Rana , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1679193965

Registered Nurse

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Counselor (License #E.2202930-SUPV in OH)

📍
Updated Practice Location May 29, 2019

Registered at 4897 KARL RD, COLUMBUS, OH 432295147 (Tel: 6142613196)

📍
Updated Business Mailing Address May 29, 2019

Registered at 4897 KARL RD, COLUMBUS, OH 432295147 (Tel: 6142613196)

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as DERRICK DAGGETT, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2019

Counselor (License #C.1901952 in OH)

NPI Profile Active March 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2018

Registered at 3535 FISHINGER BLVD, HILLIARD, OH 430267504 (Tel: 6146446959)

📍
Updated Business Mailing Address March 22, 2018

Registered at 3463 HOMECROFT DR, COLUMBUS, OH 432243232 (Tel: 6149497904)

👤
Provider Name / Credentials Updated March 22, 2018

Recorded as DERRICK DAGGETT, CT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2018

Counselor

🟢
Initial NPI Registration & Enumeration March 22, 2018

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: 1205330263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2018
Last Update: December 02, 2024
Sole Proprietor: No

Mailing Address

4897 Karl Rd

Columbus, OH 432295147

Phone: 6142613196

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.