What is Derrick Bacon's NPI number?

Derrick Bacon's National Provider Identifier (NPI) is 1083102180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derrick Bacon's specialty?

Derrick Bacon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Derrick Bacon located?

Derrick Bacon's practice location on file with NPPES is 906 69th Ave, Philadelphia, PA 19126-2909.

What is Derrick Bacon's phone number?

The practice phone number listed in the NPPES registry for Derrick Bacon is (215) 300-8111.

Is Derrick Bacon's NPI active?

Yes — Derrick Bacon's NPI (1083102180) is active in the NPPES registry as of the last update on 2018-04-25.

IndividualActive

Derrick Bacon

NPI 1083102180 · Mental Health Counselor · Philadelphia, PA

Derrick Bacon is a Mental Health Counselor provider in Philadelphia, PA (NPI 1083102180).

Provider details

NPI number: 1083102180
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% 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

906 69th Ave

Philadelphia, PA 19126-2909

Phone: (215) 300-8111

Street-level locationGet directions

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Mailing address