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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194332676

Courtney Derrick, LPCC, LICDC is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3409 E Broad St
Columbus, OH 43213-1064
Phone: (380) 201-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8017 Canyon Rd Se, Hebron, OH 43025-9301 — (304) 673-3953

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.2203162 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161741 (OH)

Record details

NPI number1194332676
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LICDC
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESMay 4, 2024
Certification dateMay 4, 2024

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