DEREK JOSEPH CHAMBERLAIN (LCMHC) – Addiction (Substance Use Disorder) Counselor, NPI 1841564978

DEREK JOSEPH CHAMBERLAIN (LCMHC) is a healthcare provider. based in Las vegas, Nevada. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCMHC. They hold a License No. CP0162 (NV). The NPI Number for DEREK JOSEPH CHAMBERLAIN (LCMHC) is 1841564978

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DEREK JOSEPH CHAMBERLAIN (LCMHC)
NPI
1841564978
Phone
(702) 935-0025
Address
2780 S Jones Blvd Ste 115D
Enumeration Date
7 March 2012
Last Update Date
28 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7255005785
Graduation Year
2011 (15 years ago)
PAC ID
9234576315
Group Practice PAC ID
0749611275
Professional Enrollment ID
I20240325003232
Address ID
NV890522707HE2401XPKWY502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

187 MENTAL HEALTH COUNSELOR in NV

Provider Addresses for DEREK JOSEPH CHAMBERLAIN (LCMHC)

  • 2780 S Jones Blvd Ste 115D

    Las Vegas, NV 891465625

    Phone: (702) 935-0025

    Fax: (702) 935-0008

    Type: Location

  • 10050 Candy Bouquet St

    Las Vegas, NV 891787563

    Phone: (702) 234-3353

    Type: Location

  • 401 CYPRESS ST

    MANCHESTER, NH 031033628

    Phone: (603) 668-4111

    Fax: (603) 628-7757

    Type: Mailing

  • 2 WALL ST

    SUITE 400

    MANCHESTER, NH 031011518

    Phone: (603) 668-4111

    Fax: (603) 628-7757

    Type: Location

  • 2780 S JONES BLVD STE 115D

    LAS VEGAS, NV 891465625

    Phone: (702) 935-0025

    Fax: (702) 935-0008

    Type: Mailing

  • 2920 N GREEN VALLEY PKWY STE 312

    HENDERSON, NV 890140412

    Phone: (702) 935-0025

    Fax: (702) 935-0008

    Type: Location

  • 10050 CANDY BOUQUET ST

    LAS VEGAS, NV 891787563

    Phone: (702) 234-3353

    Type: Mailing

  • 8430 W LAKE MEAD BLVD STE 139

    LAS VEGAS, NV 891287672

    Phone: (702) 352-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240325003232IMental Health CounselorNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749611275View full group profile
NameSpecialtyState
Nurse PractitionerMD
Mental Health CounselorNV
Psychiatry, NeuropsychiatryMD

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Frequently asked questions

Does DEREK JOSEPH CHAMBERLAIN (LCMHC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DEREK JOSEPH CHAMBERLAIN (LCMHC) uses 1841564978.
Is DEREK JOSEPH CHAMBERLAIN (LCMHC) listed as active for patients and plans?
The listing shows DEREK JOSEPH CHAMBERLAIN (LCMHC) as active in the NPI system.
What healthcare role does DEREK JOSEPH CHAMBERLAIN (LCMHC) hold?
Scheduling teams often label DEREK JOSEPH CHAMBERLAIN (LCMHC) under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect DEREK JOSEPH CHAMBERLAIN (LCMHC) on a map?
Expect Las Vegas, Nevada as a primary anchor for DEREK JOSEPH CHAMBERLAIN (LCMHC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.