DERRICK THOMAS YEAGER LAPC NPI 1972266401

NPI Information

  • NPI: 1972266401
  • Provider Name: DERRICK THOMAS YEAGER, LAPC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3535 S 31ST ST STE 201
    GRAND FORKS, ND
    ZIP 58201
  • Phone: (701) 780-6821

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NPI Details

Derrick Thomas Yeager, LAPC is a counselor in Grand Forks, ND with 6 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Derrick Thomas Yeager, LAPC NPI is 1972266401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

3535 S 31ST ST STE 201
GRAND FORKS, ND
ZIP 58201-593
Phone: (701) 780-6821
Fax: (701) 780-1973

The NPI 1972266401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/21/2021 and was last updated on 10/21/2021.

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
1101Y00000XCounselor1102-1-1-21ANORTH DAKOTAYes

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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