Individual provider · Type 1 NPI

Derrick Devon Fargo

Peer Specialist · Phoenix, AZ

NPI number 1932053873 Active

Practice location

16221 N 7th Dr
Phoenix, AZ 85023-7900

Call (623) 312-6491 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XD09261199 (AZ)
Non-emergency Medical Transport (VAN) 343900000XD09261199 (AZ)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1932053873

Derrick Devon Fargo's National Provider Identifier is 1932053873, issued on Feb 26, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 23, 2026.