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Active NPI 1205346582 Individual Practitioner Male Practitioner

Derrick Smith

Counselor - Professional • Dunlap, TN

Professional Overview & Biography Verified Profile Summary

Derrick Smith is a registered healthcare professional specializing in Counselor - Professional in Dunlap, TN. Practice services are available at 15115 RANKIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15115 Rankin Ave

Dunlap, TN 373277087

Telephone 4234533278
Associated Practice Facility / Clinic
🏢 Derrick Smith Counseling Llc Facility NPI 1558180927

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dunlap, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Dunlap, TN (2255 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

CMS Verified: 2025-04-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TN 6538

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mary Baldwin , MD

Family Medicine

NPI 1528021482

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2025

Counselor (License #6538 in TN)

📍
Updated Practice Location October 02, 2024

Registered at 15115 RANKIN AVE, DUNLAP, TN 373277087 (Tel: 4234533278)

📍
Updated Business Mailing Address October 02, 2024

Registered at 15115 RANKIN AVE, DUNLAP, TN 373277087

✅
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2017

Registered at 403 COMMERCE ST, RIPLEY, TN 380632060 (Tel: 7316353968)

📍
Updated Business Mailing Address October 10, 2017

Registered at 403 COMMERCE ST, RIPLEY, TN 380632060

👤
Provider Name / Credentials Updated October 10, 2017

Recorded as DERRICK SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Counselor

✅
NPI Profile Active October 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2017

Registered at 403 COMMERCE ST, RIPLEY, TN 380632060 (Tel: 7316353968)

📍
Updated Business Mailing Address October 02, 2017

Registered at 403 COMMERCE ST, RIPLEY, TN 380632060

👤
Provider Name / Credentials Updated October 02, 2017

Recorded as DERRICK SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2017

Counselor

🟢
Initial NPI Registration & Enumeration October 02, 2017

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: 1205346582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2017
Last Update: April 04, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

15115 Rankin Ave

Dunlap, TN 373277087

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.