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

Derek Wise, MA, LCPC

Individual provider Professional Counselor · NPI 1740692334

Derek Wise, MA, LCPC is a Mental Health Counselor in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

5510 S Fort Apache Rd
Las Vegas, NV 89148-7700
Phone: (702) 604-2498
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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 CP1204 (NV)

Record details

NPI number1740692334
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LCPC
Sole proprietorYes
NPI enumeratedMay 30, 2014
Last updated in NPPESMay 31, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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