Individual provider Active NPI

Derek Lee, PC

  • Counselor
  • Lubbock, TX
National Provider Identifier
1356636070
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
100380 Issued in TX
Practice address
3601 4TH St Unit 3A250
Lubbock, TX 79430-0002
Phone
(806) 743-2018
Fax
(806) 743-1654
NPI assigned
Jun 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C0900398 OH
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 100380 TX Primary

Addresses

Primary practice location

3601 4TH St Unit 3A250
Lubbock, TX 79430-0002

Mailing address

26494 Laurel LN
Perrysburg, OH 43551-5484
Phone (419) 874-8798

Other identifiers 1

IdentifierTypeStateIssuer
C0900398OtherOHSTATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240815004525 CO Practitioner - Mental Health Counselor 1850839226 Reassigns benefits to 1 organization
I20240921000567 AZ Practitioner - Mental Health Counselor 1850839226 Reassigns benefits to 1 organization
I20260206003814 TX Practitioner - Mental Health Counselor 1850839226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Ohio State University College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3601 4TH St
Lubbock, TX 79430-0001

PO Box
Suite 27476
Salt Lake City, UT 84127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0900398OHMDCounselor
100380TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Dec 31, 2025 Accepting new patients
Hope Institute of America Multi-Specialty Current Accepting new patients
The Hope Institute, LLC Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Multi-Specialty CurrentSince Dec 31, 2025 Accepting new patients
Hope Institute of America Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Multi-Specialty Current Accepting new patients
Premiere Counseling Services, LLC PastSince Oct 13, 2024 Accepting new patients
Perrysburg Counseling Services, LLC Past Accepting new patients

Locations

1845 E Queen Creek Rd
Gilbert, AZ 85297
Phone (419) 482-8382

1790 30th St
Ste 350
Boulder, CO 80301
Phone (419) 482-8382

1070 Commerce Dr
Ste 101
Perrysburg, OH 43551
Phone (419) 461-1983

1070 Commerce Dr
Ste 102
Perrysburg, OH 43551
Phone (419) 482-8382

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

3601 4th St
Unit 3A250
Lubbock, TX 79430
Phone (806) 743-2018

3601 4th St
#3A250
Lubbock, TX 79430
Phone (806) 743-2018

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1356636070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26494 LAUREL LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515484",
            "telephone_number": "419-874-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST UNIT 3A250",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2018",
            "fax_number": "806-743-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEREK",
        "credential": "PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0900398",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "100380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD",
            "identifier": "C0900398",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.