P Praxis·MD
● Active Type 1 · Individual

MRS. Tiffany R Derrick, LCPC

Counselor·Gainesville, GA· NPI 1124399589 · Enumerated 2012 · 14 years on NPI
Derrick is 1 of 77 counselor providers in Gainesville and 1 of 7547 in Georgia.
NPI age
14 years
Enumerated 2012-01-17
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Practice location
629 Dawsonville Hwy Ste 2201
Gainesville, GA 305012632
📞 6787018477fax 2295161395
Mailing address
629 Dawsonville Hwy Ste 2201
Gainesville, GA 305012632
📞 6787018477fax 2295161395

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC008265IL license #180.009330 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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