Active NPI
Derek Orlando Harper
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1164722732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.162767
- Practice address
- 8051 W Charleston Blvd
Apt 70
Las Vegas, NV 89117-0135 - Phone
- (702) 502-1298
- NPI assigned
- Oct 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.162767 | OH | Primary |
Addresses
Primary practice location
8051 W Charleston Blvd
Apt 70
Las Vegas, NV 89117-0135
Mailing address
3817 Dauntless Dr
North Las Vegas, NV 89031-0135
Phone (702) 501-6108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.162767 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1164722732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3817 DAUNTLESS DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890310135",
"telephone_number": "702-501-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8051 W CHARLESTON BLVD",
"address_2": "APT 70",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891170135",
"telephone_number": "702-502-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "DEREK",
"middle_name": "ORLANDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2024-12-10",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.162767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.