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

Shannon Lee Derby, LMHC, CAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962365940

Shannon Lee Derby, LMHC, CAC is an Addiction (Substance Use Disorder) Counselor in Marlborough, Massachusetts. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

28 Lord Rd Ste 215
Marlborough, MA 01752-4549
Phone: (781) 666-2711
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH17175 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CAC.100099 (FL)

Record details

NPI number1962365940
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC , CAC
Sole proprietorYes
NPI enumeratedDecember 5, 2025
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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