Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carissa Dersam

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194588962

Carissa Dersam is an Addiction (Substance Use Disorder) Counselor in Lancaster, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1550 Sheridan Dr Ste 302
Lancaster, OH 43130-1380
Phone: (740) 901-3040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1194588962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1550 Sheridan Dr Ste 302, Lancaster, OH 43130-1380

Other providers in Lancaster