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

Derek Ciaruffoli, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912312810

Derek Ciaruffoli, LPC is an Addiction (Substance Use Disorder) Counselor in Kingston, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

675 Wyoming Ave Ste B
Kingston, PA 18704-3831
Phone: (570) 406-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC008743 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1912312810
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 30, 2014
Last updated in NPPESNovember 29, 2016
Mailing address11 Snowden St, Forty Fort, PA 18704-5009

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