Derek Bayne, MA, NCC, LPC
Counselor in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1962095398
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1962095398
- Entity type
- Individual (NPI-1)
- Name
- Derek Bayne
- Credential
- MA, NCC, LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2021
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPC.0018940 | CO | Yes |
| 101YM0800X | Counselor, Mental Health | LPCC.0018053 | CO | |
| 101YM0800X | Counselor, Mental Health | LPC.0018940 | CO |
Practice location
1283 Kelly Johnson BlvdColorado Springs, CO 80920-3925
Phone 719-452-4803
Mailing address
5009 Hawk Meadow DrColorado Springs, CO 80916-5729
Phone 719-464-3179
Other practice locations
530 Communication Cir
Colorado Springs, CO 80905-1744
Colorado Springs, CO 80905-1744
Phone 719-309-4773
6180 Lehman Dr
Colorado Springs, CO 80918-3444
Colorado Springs, CO 80918-3444
Phone 719-452-4803
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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