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

Derrick Loren Sampson, MS, SUDT, MHP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679040901

Derrick Loren Sampson, MS, SUDT, MHP is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

12201 Pacific Ave S
Tacoma, WA 98444-5126
Phone: (253) 536-6425
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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 CO60749434 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence CG60832062 (WA)

Record details

NPI number1679040901
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , SUDT , MHP
Sole proprietorNo
NPI enumeratedOctober 24, 2018
Last updated in NPPESNovember 8, 2019

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