Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Derek Kyrk Johnson

Individual provider Peer Specialist · NPI 1023921665

Derek Kyrk Johnson is a Peer Specialist in Independence, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

6100 Oak Tree Blvd
Independence, OH 44131-2544
Phone: (216) 202-8224
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PRS008272 (OH)

Record details

NPI number1023921665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2026
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026

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