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DR. MARK WILLIAM DEITRICK LPC
NPI 1174755078
Counselor - Professional in Ellwood City, PA

Active since August 11, 2009PECOS Enrolled
229 PORTERSVILLE RD, ELLWOOD CITY, PA 16117(724) 752-9114(724) 657-3326 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark William Deitrick Lpc NPPES

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

DR. MARK WILLIAM DEITRICK LPC (NPI 1174755078) is an individual professional provider in Ellwood City, Pennsylvania, licensed in Pennsylvania (PC000115) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174755078
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MARK WILLIAM DEITRICKCredential: LPC
Location Address229 PORTERSVILLE RDEllwood City, PA 16117-2431
Mailing Address2703 W State StNew Castle, PA 16101-8671 · (724) 657-3303 · Fax (724) 657-3326
Phone(724) 752-9114
Fax(724) 657-3326
Sole ProprietorNo
Enumeration DateAugust 11, 2009
Last NPPES UpdateAugust 9, 2010
✔ NPI 1174755078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC000115
229 PORTERSVILLE RD, Ellwood City, PA 16117
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Other Identifiers 3

Other2114493PA · Highmark Blue Cross Blue Sheild
Other251830792PA · Intergroup Services Corporation
Other12765444Multiplan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark William Deitrick Lpc 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.

Other Providers at the Same Location NPPES

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

VANTAGE DME
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
229 PORTERSVILLE RD
ELLWOOD CITY, PA 16117
Lawrence County (724) 752-1562

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 Mark Deitrick's NPI number?

The NPI number for Mark Deitrick is 1174755078. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Where is Mark Deitrick located?

Mark Deitrick practices at 229 Portersville Rd, Ellwood City, PA 16117. The listed phone number is (724) 752-9114.

What is Mark Deitrick's specialty?

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

Is Mark Deitrick enrolled in Medicare?

Yes. Mark Deitrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Deitrick was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.