DEREK LEE (NPI# 1356636070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356636070 |
| Entity Type | Individual |
| Full Name | DEREK LEE |
| Credential | PC |
| Practice Address |
1045 Klotz Rd Bowling Green OH 43402-4820 |
| Mailing Address |
26494 Laurel Ln Perrysburg OH 43551-5484 |
| Practice Telephone | 4193527588 |
| Practice Fax Number | 4193544977 |
| Mailing Telephone | 4198748798 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2012-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C0900398 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAP | C0900398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396116596 | Derek Lee | Physical Therapist | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 | 2015-10-13 |
| 1790042083 | Derek Lee | Radiologic Technologist | 28322 N 223rd Ln, Wittmann, AZ 85361-8780 | 2012-04-12 |
| 1205090503 | Derek L Lee | Dentist | 17 E Hospital St, Manning, SC 29102-3152 | 2008-07-15 |
| 1083235386 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-28 |
| 1962045849 | Derek Chalmer Lee | Counselor | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-10-23 |
| 1073083549 | Derek Lee | Physical Therapist | 143 E 34th St, New York, NY 10016-4713 | 2018-11-27 |
| 1891273173 | Derek Dongsuk Lee | Pharmacist | 705 E Mcdowell Rd, Pharmacy, Phoenix, AZ 85006-2519 | 2018-07-30 |
| 1639667553 | Derek Justin Lee | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2018-04-26 |
| 1336636273 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2018-04-17 |
| 1831619766 | Derek Lee | Counselor | 100 Asma Blvd Ste 200, Lafayette, LA 70508-3868 | 2017-06-21 |
| Street Address |
1045 KLOTZ RD |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992496 | Jeffrey W Wahl | Psychiatry & Neurology | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2005-09-12 |
| 1467050070 | Leann Niccole Mcgraw | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-10-15 |
| 1508463514 | Mark Anthony Johnson Jr. | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-10-02 |
| 1841804705 | Joseph Stockton | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-09-08 |
| 1053925362 | Astasha Perrine | Counselor | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-09-03 |
| 1902430721 | Kimberly C Molnar | Counselor | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-03-02 |
| 1003452350 | Tess J Lohse | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-11-21 |
| 1962047019 | Tabatha Marie Miller | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-11-13 |
| 1629612031 | Emily Perkins | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-10-30 |
| 1477196442 | Kelsey Morgan Parker | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1306303904 | Curtis Andrew Peet | Counselor | 219 S Church St, Bowling Green, OH 43402-2816 | 2019-03-01 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1417310608 | Cody Haynes | Counselor | 380 Suwannee Tail St, Bowling Green, KY 42103-7956 | 2016-04-04 |
| 1811339914 | Ky Steps LLC | Counselor | 2815 Russellville Rd, Bowling Green, KY 42101-3960 | 2013-07-18 |
| 1528363660 | Theresa Marie Weber | Counselor | 1616 E. Wooster Street, Bowling Green, OH 43402-3466 | 2011-01-21 |
| 1265756167 | Candi M Bainbridge | Counselor | 1344 Ironwood Dr, Bowling Green, KY 42103-6251 | 2010-03-22 |
| 1053502674 | Monica A Birsen | Counselor | 1010 N Prospect, Bowling Green, OH 43402 | 2007-08-08 |
| 1528267622 | Sara Elizabeth Grim | Counselor | 320 W Gypsy Lane Rd, Bowling Green, OH 43402-4572 | 2007-07-17 |
| 1902932320 | Jason Ryan Herring | Counselor | 942 Searcy Way, Bowling Green, KY 42103 | 2007-02-27 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.