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

Maya Derhake, MS, CGC

Individual provider Genetic Counselor (M.S.) · NPI 1043189053

Maya Derhake, MS, CGC is a Genetic Counselor (M.S.) in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

750 8th Ave
Fort Worth, TX 76104-2515
Phone: (682) 885-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Genetic Counselor (M.S.) (primary) Taxonomy 170300000X · Licence 23467 (TX)

Record details

NPI number1043189053
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CGC
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing addressPo Box 733784, Dallas, TX 75373-3784

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