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

Derek Beasley, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841803236

Derek Beasley, CDCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

4124 Linden Ave
Dayton, OH 45432-3018
Phone: (937) 422-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 170758 (OH)

Record details

NPI number1841803236
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedAugust 26, 2020
Last updated in NPPESAugust 26, 2020
Certification dateAugust 25, 2020
Mailing address2612 Lynhurst Ave, Dayton, OH 45420-2712

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