P Praxis·MD
● Active Type 1 · Individual

MS. Ebony Nicole Derrickson, MS DDP

Counselor·Loganville, GA· NPI 1881336907 · Enumerated 2022 · 4 years on NPI
Derrickson is 1 of 35 counselor providers in Loganville and 1 of 5527 in Georgia.
NPI age
4 years
Enumerated 2022-04-09
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
2
In the 16% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
125 Lee Byrd Rd
Loganville, GA 300522310
📞 6788838609
Mailing address
750 Gaines School Rd Apt I156
Athens, GA 306053254
📞 7062964666

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2795 Main St W
Snellville, GA 300783164
📞 6783347836

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X
  • Psychologist
    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and...
    taxonomy 103TC1900X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new counselor providers have been added in Loganville in the last 180 days. See all →
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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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