Organization
OPEN DOORS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK PICKLESIMER MBA (CREDENTIALING/ BILLING MANAGER)
(859) 300-1437
Entity
Organization
Contact information
Practice address
503 DARBY CREEK RD STE C, LEXINGTON, KY 40509-1603
(606) 776-6185
Mailing address
210 E HIGH ST UNIT 394, LEXINGTON, KY 40588-0849
(606) 776-6185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100688790
—
KY
Enumeration date
01/07/2020
Last updated
02/02/2026
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