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

Mr. Derek Wayne Stricklin, PLPC

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1598044083

Mr. Derek Wayne Stricklin, PLPC is a Mental Health Counselor in Fredericktown, Missouri. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011

Practice location Address checks out

1800 Madison 257
Fredericktown, MO 63645-8273
Phone: (573) 783-4400
Fax: (573) 783-4409
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 2011025373 (MO)

Record details

NPI number1598044083
Entity typeIndividual (Type 1)
GenderMale
Credentials PLPC
Sole proprietorYes
NPI enumeratedAugust 15, 2011
Last updated in NPPESAugust 15, 2011
Mailing address1800 Madison 257, Fredericktown, MO 63645-8273

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated