Derek Hanley, CDCA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

520 Solida Rd
South Point, OH 45680-9347

Phone

(740) 523-0097

NPI assigned

Jun 1, 2023

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

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.

• Regal Recovery Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Proctorville, OH
  • NPI 1346077070
  NPD
• Regal Recovery Care, LLC

  • Community/Behavioral Health Agency
  • Proctorville, OH
  • NPI 1508500612
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1447943634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOLIDA RD",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809347",
            "telephone_number": "740-523-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SOLIDA RD",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809347",
            "telephone_number": "740-523-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "DEREK",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Ray Hall
• Samantha Betty Hammer
• William Hampton, DDS
• James Hamrick, CDCA
• Tracy J Hamrick, RN
• Dustin Hann
• Grace Hanna
• Donna Hardy, CDCA
• Madison Harper
• Kyla Naylene Harvey

• Case Manager/Care Coordinator in South Point, OH
• Providers in South Point, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.