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

Derek Struchtemeyer, LPC

Individual provider Professional Counselor · NPI 1215365663

Derek Struchtemeyer, LPC is a Mental Health Counselor in Canton, Georgia. Qualified in 1995, 31 years ago. Practices with Canton Counseling LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
31
Licensed in
GA
In the registry since
2013
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

310 Paper Trail Way Ste 106
Canton, GA 30115-5204
Phone: (678) 880-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 002981 (GA)

Record details

NPI number1215365663
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 23, 2013
Last updated in NPPESOctober 23, 2013
Mailing address310 Paper Trail Way Ste 106, Canton, GA 30115-5204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Canton Counseling Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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