Individual provider Active NPI

Derek J Parker, M.A., M.S., PH.D.

  • Professional Counselor
  • Du Bois, PA
National Provider Identifier
1679919633
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
420 1St St
Du Bois, PA 15801-3012
Phone
(814) 221-5744
NPI assigned
May 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

420 1St St
Du Bois, PA 15801-3012

Mailing address

56 Graham Ave
Brookville, PA 15825-1403
Phone (814) 221-5744

Other practice location 1

2785 Walston Rd
Punxsutawney, PA 15767-2625
Phone (724) 396-1510

Other practice location 2

56 Graham Ave
Brookville, PA 15825-1403
Phone (814) 221-5744

Other practice location 3

205 Jefferson St
Brookville, PA 15825-1144
Phone (724) 396-1510

Other practice location 4

100 W Long Ave
Du Bois, PA 15801-2104
Phone (814) 221-5744

Other practice location 5

140 N Saint Marys St
Saint Marys, PA 15857-1236
Phone (724) 396-1510

Other practice location 6

169 West College Street
Waynesburg, PA 15370-1319
Phone (724) 396-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241113000717 PA Practitioner - Mental Health Counselor 8123552155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard HoffmanGroup PAC ID 7618137522, 54 clinicians

Practice addresses (Care Compare)

438 Pellis Rd
Suite 202
Greensburg, PA 15601-7900
Phone (724) 396-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Hoffman Professional CurrentSince Nov 4, 2024 Accepting new patients
Christian Counseling Associates of Western Pennsylvania Mental Health CurrentSince Nov 4, 2024 Accepting new patients

Locations

438 Pellis Rd
Ste 202
Greensburg, PA 15601
Phone (724) 832-7157

Organizations & group practices 2

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1679919633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GRAHAM AVE",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251403",
            "telephone_number": "814-221-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1ST ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013012",
            "telephone_number": "814-221-5744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2785 Walston Rd",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157672625",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158251403",
            "country_code": "US",
            "telephone_number": "814-221-5744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158251144",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Long Ave",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012104",
            "country_code": "US",
            "telephone_number": "814-221-5744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 N Saint Marys St",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158571236",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 West College Street",
            "address_purpose": "LOCATION",
            "city": "Waynesburg",
            "state": "PA",
            "postal_code": "153701319",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DEREK",
        "middle_name": "J",
        "credential": "M.A., M.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.