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

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: October 18, 2026.

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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michaela Detrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,083 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051
DR. JOHN SCOTT NEIL PSY.D.
Psychologist
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051
DR. KATHY W ZAKARIAN PSY.D.
Psychologist (Clinical)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051
MRS. KRYSTIN MONTORO
Counselor (Mental Health)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051
DR. CHRISTIE BURGER SEILER PSY.D.
Psychologist (Clinical)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051
STOCKI & NEIL COUNSELING ASSOCIATES, PC
Counselor (Mental Health)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051
ASSOCIATES IN NEUROPSYCHOLOGY & COLLABORATIVE HEALTHCARE, PC
Counselor (Professional)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-6484
DR. STEPHANIE STOCKI PSY.D, LCSW
Social Worker (Clinical)
1521 WASHINGTON BLVD
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Michaela Detrick located?

Michaela Detrick practices at 1521 Washington Blvd, Williamsport, PA 17701. The listed phone number is (570) 322-5051.

What is Michaela Detrick's specialty?

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

Is Michaela Detrick enrolled in Medicare?

Yes. Michaela Detrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michaela Detrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Detrick reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michaela Detrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michaela Detrick was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.