Christopher Dericks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1205 Gringo Rd Unit 1a
Aliquippa, PA 15001-4824

Phone

(330) 256-0533

Fax

(330) 595-4727

NPI assigned

Feb 5, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Clarity Counseling LLC

  • Professional Counselor
  • Aliquippa, PA
  • NPI 1518507839
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1396508123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GRINGO RD UNIT 1A",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014824",
            "telephone_number": "330-256-0533",
            "fax_number": "330-595-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRINGO RD UNIT 1A",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014824",
            "telephone_number": "330-256-0533",
            "fax_number": "330-595-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERICKS",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha-Jo Deitrick, MA, LBS, NCC
• Joseph P Dejonckheere, MD
• Cassandra Delisio, RN
• Deliverance Temple Minitries Roots Inc.
• Devin G Depner, OD
• Sanjit Kaur Dhaliwal, MD
• Benjamin L Diequez, RN
• Melissa Christine Donohue, MSW, LCSW
• Abigail Beverly Dorer, DMD
• Emily Catharine Dorer, DMD

• Mental Health Counselor in Aliquippa, PA
• Providers in Aliquippa, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.