Individual provider Active NPI

Derek W Hopler, LPCMH

  • Mental Health Counselor
  • Milford, DE
National Provider Identifier
1902953052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC0000342 Issued in DE
Practice address
1131 Airport Rd
Milford, DE 19963-6418
Phone
(302) 422-8026
Fax
(302) 422-0701
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC0000342 DE Primary

Addresses

Primary practice location

1131 Airport Rd
Milford, DE 19963-6418

Mailing address

1131 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026

Other identifiers 1

IdentifierTypeStateIssuer
1000039095MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240416000271 DE Practitioner - Mental Health Counselor 3173962750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Counseling and Therapy Center, LLCGroup PAC ID 2365545589, 2 clinicians

Practice addresses (Care Compare)

21635 Biden Ave
Suite 200
Georgetown, DE 19947-4574
Phone (302) 856-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC0000342DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling and Therapy Center, LLC CurrentSince Feb 11, 2024 Accepting new patients
People'S Place II, Inc. PastSince Jun 7, 1999 Accepting new patients

Locations

21635 Biden Ave
Unit 200
Georgetown, DE 19947
Phone (302) 856-9190

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902953052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8026",
            "fax_number": "302-422-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8026",
            "fax_number": "302-422-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPLER",
        "first_name": "DEREK",
        "middle_name": "W",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039095",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.