Derek James Nunn, MA, LPCC7195

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC7195 Issued in CA

Practice address

2540 W Shaw LN Ste 107
Fresno, CA 93711-2700

Phone

(559) 256-7626

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kings View

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1982162731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1164915302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 W ROBERTS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227757",
            "telephone_number": "559-385-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W SHAW LN STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112700",
            "telephone_number": "559-256-7626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937054201",
            "country_code": "US",
            "telephone_number": "559-264-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNN",
        "first_name": "DEREK",
        "middle_name": "JAMES",
        "credential": "MA, LPCC7195",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC7195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Nunez
• Lourdes Nungaray Quezada
• Christina Nunley
• Kai Nunley
• Ashley Nunn
• Ayana Ines Nuno
• Joan N Nunoo, AG-PCNP
• Thida Nuon
• Terry Nuth, NP
• Nutrition Works, Inc.

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.