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

Mr. Benjamin David Derrick, BIBLICALCOUNSELOR

Individual provider Pastoral Counselor · NPI 1356098438

Mr. Benjamin David Derrick, BIBLICALCOUNSELOR is a Pastoral Counselor in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022

Practice location Address checks out

4500 Interstate 55 North Frontage Rd Ste 279
Jackson, MS 39211
Phone: (601) 405-7445
Show map & directions

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

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence 10102004 (MS)

Record details

NPI number1356098438
Entity typeIndividual (Type 1)
GenderMale
Credentials BIBLICALCOUNSELOR
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 8, 2022
Certification dateFebruary 22, 2022

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