Derek Alan Hammacher, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009188 Issued in PA

Practice address

1717 Swede Rd Ste 102
Blue Bell, PA 19422-3372

Phone

(484) 370-3906

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: derek.hammacher.p1@direct.chdc.nextgenshare.com

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1922574359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD STE 102",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD STE 102",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223372",
            "telephone_number": "484-370-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMACHER",
        "first_name": "DEREK",
        "middle_name": "ALAN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "009188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14356896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unnati Hajari
• Christen Caradine Hall, DNP, FNP, RN, CIC
• Lisa Hallahan, LCSW
• Khadijah Hamidullah
• Michele Hamilton, NCS RNAPRN BC
• Susan M. Hammond, M.A., CCC-SP
• Barbara Ellen Hanlon, RDN
• Lynn Hansberry, RN
• Gerald J Hansen IV, D.O.
• Harmony Dna & Drug Testing

• Professional Counselor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.