Active NPI
Derrick Travon Hayes
- Mental Health Counselor
- Lancaster, CA
National Provider Identifier
1548195902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22409
- Practice address
- 1672 W Avenue J Ste 202
Lancaster, CA 93534-2861 - Phone
- (661) 214-3044
- NPI assigned
- Jun 16, 2026
- Last updated
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22409 | CA | Primary |
Addresses
Primary practice location
1672 W Avenue J Ste 202
Lancaster, CA 93534-2861
Mailing address
1672 W Avenue J Ste 202
Lancaster, CA 93534-2861
Phone (661) 214-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1548195902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 W AVENUE J STE 202",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342861",
"telephone_number": "661-214-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 W AVENUE J STE 202",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342861",
"telephone_number": "661-214-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "DERRICK",
"middle_name": "TRAVON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "22409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.