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

Mr. Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI

Individual provider Mental Health Counselor · NPI 1962395418

Mr. Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI is a Mental Health Counselor in Marquette, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
4

Practice location Address checks out

249 Oakridge Dr
Marquette, MI 49855-8864
Phone: (248) 573-9465
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X (MI)
Mental Health Counselor Taxonomy 101YM0800X (MI)
Pastoral Counselor Taxonomy 101YP1600X (MI)
Driver Taxonomy 172A00000X (MI)

Record details

NPI number1962395418
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW , NDPP-LCC-CDC-MI
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Other providers in Marquette