Derrick Kaufman, LICDC
NPI 1073173498 · Addiction (Substance Use Disorder) Counselor · Dayton, OH
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Kaufman, LICDC is a Addiction (Substance Use Disorder) Counselor provider in Dayton, OH (NPI 1073173498).
Provider details
- NPI number
- 1073173498
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LICDC
- Sex
- Male
- Sole proprietor
- No
- License
- LICDC162158 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Frequently asked questions
- What is Derrick Kaufman's NPI number?
- Derrick Kaufman's National Provider Identifier (NPI) is 1073173498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Kaufman's specialty?
- Derrick Kaufman is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Derrick Kaufman located?
- Derrick Kaufman's practice location on file with NPPES is 4977 Northcutt Pl, Dayton, OH 45414-3839.
- What is Derrick Kaufman's phone number?
- The practice phone number listed in the NPPES registry for Derrick Kaufman is (937) 387-6395.
- Does Derrick Kaufman accept Medicare?
- Derrick Kaufman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Kaufman's NPI active?
- Yes — Derrick Kaufman's NPI (1073173498) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.