Derek Joseph Chamberlain, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP0162 Issued in NV

Practice address

2920 N Green Valley Pkwy Ste 312
Henderson, NV 89014-0412

Phone

(702) 935-0025

Fax

(702) 935-0008

NPI assigned

Mar 7, 2012

Last updated

May 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespan Behavioral Health Nevada PCGroup PAC ID 0749611275, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Behavioral Health Nevada PC

  • Neurology Physician
  • Henderson, NV
  • NPI 1114547726
  Medicare reassignment Care Compare group NPD
• Able Mind Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henderson, NV
  • NPI 1104712868
  NPD Authorized official
• True Life Coaching LLC

  dba Aloha Care Therapy

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1548771454
  NPD
• The Mental Health Center of Greater Manchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1609848811
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1841564978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 115D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140412",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 S Jones Blvd Ste 115D",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465625",
            "country_code": "US",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10050 Candy Bouquet St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891787563",
            "country_code": "US",
            "telephone_number": "702-234-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "CP0162",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0162",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica M Chacon, MD
• Isaiah Thomas Chadwick, LMT
• Alexandra L Chaffee
• Lyn Chagaris-Taylor
• Kirandeep Chahal, DO
• Elizabeth Anne Chamberlain
• Christina Chamberlin
• Elias Chambers, DMD
• John Richard Chambers, ARPN, CNP
• Julia Chambers

• Mental Health Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.