MICHAELA J DETRICK LPC, CAADC
NPI 1144990961
Counselor - Professional in Williamsport, PA

Q: What is Michaela Detrick's NPI number?

The NPI number for Michaela Detrick is 1144990961. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Q: What is Michaela Detrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Michaela Detrick was last updated on September 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2021PECOS Enrolled

1521 WASHINGTON BLVD, WILLIAMSPORT, PA 17701(570) 322-5051(570) 322-6788 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Michaela J Detrick Lpc, Caadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAELA J DETRICK LPC, CAADC (NPI 1144990961) is an individual professional provider in Williamsport, Pennsylvania, licensed in Pennsylvania (PC013722) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144990961

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMICHAELA J DETRICKCredential: LPC, CAADC

Location Address1521 WASHINGTON BLVDWilliamsport, PA 17701-5426

Mailing Address716 N Loyalsock AveMontoursville, PA 17754-1022 · (570) 220-5460

Phone(570) 322-5051

Fax(570) 322-6788

Sole ProprietorNo

Enumeration DateSeptember 14, 2021

NPPES CertifiedSeptember 14, 2021

✔ NPI 1144990961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC013722

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10091 (PA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC013722 (PA)

1521 WASHINGTON BLVD, Williamsport, PA 17701

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela J Detrick Lpc, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN E SOCCIO BSL, LPC

Counselor (Professional)