MR. DERIK GREEN MSW QMHP-T NPI 1013595776

NPI Information

  • NPI: 1013595776
  • Provider Name: MR. DERIK GREEN, MSW, QMHP-T
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 291 INDEPENDENCE BLVD STE 532
    VIRGINIA BEACH, VA
    ZIP 23462
  • Phone: (757) 962-6889

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NPI Details

MR. Derik Green, MSW, QMHP-T is a mental health counselor in Virginia Beach, VA. MR. Derik Green, MSW, QMHP-T NPI is 1013595776. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA
ZIP 23462-473
Phone: (757) 962-6889

The enumeration date for this NPI number is 4/1/2021 and was last updated on 4/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0734002974VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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