Derrick Daggett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2202930-SUPV Issued in OH

Practice address

4897 Karl Rd
Columbus, OH 43229-5147

Phone

(614) 261-3196

NPI assigned

Mar 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maryhaven Inc.

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1245290436
  Medicare reassignment NPD
• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment NPD
• Syntero, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Dublin, OH
  • NPI 1609135763
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1205330263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295147",
            "telephone_number": "614-261-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295147",
            "telephone_number": "614-261-3196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Cramer Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172586",
            "country_code": "US",
            "telephone_number": "614-889-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "DERRICK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202930-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR, SOCIAL WORKER & MFT BOARD",
            "identifier": "C.1901952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daffodill Inc
• Marcio A Dafonseca, DDS
• Erica Starr Daft, RN
• Jeannette Chary Dagam, DO
• Edward Scott Dagenfield, LICDC, LPC
• Laxmi Narayan Dahal, QMHS 3YRS CMS
• Mohan Dahal
• Faiza Dahani
• Ardo Dahir, APRN, CNP, PMHNP
• Asad Dahir

• Professional Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.