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

Mrs. Shannon Metcalf Derrick, LPCC

Individual provider Professional Counselor · NPI 1861764011

Mrs. Shannon Metcalf Derrick, LPCC is a Professional Counselor in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1100 E Market St Aftercare Program
Louisville, KY 40206-1838
Phone: (502) 596-1323
Fax: (502) 596-1416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0949 (KY)

Record details

NPI number1861764011
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESFebruary 3, 2012

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