DEREK DIETRICH LPC
NPI 1235733510
Counselor - Professional in Austin, TX
About Derek Dietrich Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK DIETRICH LPC (NPI 1235733510) is an individual professional provider in Austin, Texas, licensed in Texas (78855) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek Dietrich Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Derek Dietrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Round Rock, TX 78664
- Reassigned Medicare billing, Texas enrollment
- 211 clinicians in this Medicare group
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78729
AUSTIN, TX 78729
AUSTIN, TX 78729
AUSTIN, TX 78729
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 Derek Dietrich's NPI number?
The NPI number for Derek Dietrich is 1235733510. It was assigned to this individual provider in the NPPES registry on November 26, 2020.
Where is Derek Dietrich located?
Derek Dietrich practices at 13625 Pond Springs Rd Ste 105, Austin, TX 78729. The listed phone number is (512) 576-4150.
What is Derek Dietrich's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Derek Dietrich enrolled in Medicare?
Yes. Derek Dietrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Derek Dietrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Dietrich reassigns Medicare benefits to Family Care Center LLC, (Round Rock, TX). 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 Derek Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Dietrich accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Derek Dietrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Derek Dietrich was last updated on November 26, 2020. 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.
# Derek Dietrich, LPC · NPI 1235733510
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since November 26, 2020.
## Identity
- **NPI:** 1235733510 (Entity type: Individual)
- **Enumerated:** November 26, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 78855 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 13625 POND SPRINGS RD STE 105, Austin, TX 78729-4400
- **Phone:** (512) 576-4150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Care Center LLC, (NPI 1427786482, Round Rock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235733510) · Data from the CMS NPPES public registry.