Individual provider Active NPI

Derek Daley, LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1568030401
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010011 Issued in VA
Practice address
2215 Langhome Rd
Lynchburg, VA 24501
Phone
(434) 948-4831
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010011 VA Primary

Addresses

Primary practice location

2215 Langhome Rd
Lynchburg, VA 24501

Mailing address

2215 Langhome Rd
Lynchburg, VA 24501
Phone (540) 871-3278

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Madelinecentre.com The Madeline Centre Incorporated

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240112003244 VA Practitioner - Mental Health Counselor 6800247974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Behavioral HealthGroup PAC ID 5092791814, 37 clinicians

Practice addresses (Care Compare)

2215 Langhorne Rd
Lynchburg, VA 24501-1121
Phone (434) 948-4831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Apr 22, 2024 Accepting new patients

Locations

2225 Langhorne Rd
#A
Lynchburg, VA 24501
Phone (434) 477-5000

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

2225 Langhorne Rd
#B
Lynchburg, VA 24501
Phone (434) 447-5000

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

37 Village Hwy
Rustburg, VA 24588
Phone (434) 332-5149

Organizations & group practices 1

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1568030401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LANGHOME RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "540-871-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANGHOME RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-948-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "DEREK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-05-14",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Madelinecentre.com",
            "affiliation": "Y",
            "affiliationName": "The Madeline Centre Incorporated",
            "address_1": "18697 Forest Rd",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245024363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.