Derek Bastian, MA
Individual provider Active NPI Mental Health Counselor · Glen Carbon, IL
NPI 1336099647 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1336099647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 88 S Main St
Glen Carbon, IL 62034-1415 - Phone
- (618) 288-8085
- NPI assigned
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternatives Counseling, Inc | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
88 S Main St
Glen Carbon, IL 62034-1415
Mailing address
88 S Main St
Glen Carbon, IL 62034-1415
Phone (618) 288-8085
Other practice location 1
200 W 3rd St Ste 705&706
Alton, IL 62002-6180
Phone (618) 288-8085
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All providers in Glen Carbon, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.