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SAMANTHA-JO DEITRICK MA, LBS, NCC
NPI 1356107908
Counselor in Aliquippa, PA

Active since February 22, 2024PECOS Enrolled
150 PLEASANT DR STE 201, ALIQUIPPA, PA 15001(724) 888-2097(724) 888-2098 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha-jo Deitrick Ma, Lbs, Ncc NPPES

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

SAMANTHA-JO DEITRICK MA, LBS, NCC (NPI 1356107908) is an individual counselor in Aliquippa, Pennsylvania, licensed in Pennsylvania (PC018854) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Warrendale.

NPPES Registry Identity

NPI1356107908
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA-JO DEITRICKCredential: MA, LBS, NCC
Location Address150 PLEASANT DR STE 201Aliquippa, PA 15001-1360
Mailing Address145 Lynn Haven DrBeaver, PA 15009-1335 · (724) 664-7445
Phone(724) 888-2097
Fax(724) 888-2098
Sole ProprietorNo
Enumeration DateFebruary 22, 2024
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1356107908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in PA · PC018854
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
150 PLEASANT DR STE 201, Aliquippa, PA 15001
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Secondary Practice Location 1

Location 11 Williamsburg Pl Ste G2Warrendale, PA 15086-7519 · Phone (216) 282-7355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha-jo Deitrick Ma, Lbs, Ncc 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 Reassignments

2

Medicare enrollment records show Samantha-jo Deitrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Presbyterian Shadyside
23 mi
General Acute Care Hospital
200 LOTHROP ST
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 96 clinicians in this Medicare group
NPI 1821007881 (412) 432-5500
Pathways Human Services Of Pennsylvania, LLC
51 mi
Public Health or Welfare
4731 ROUTE 30 STE 302&404
Greensburg, PA 15601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
NPI 1043822208 (724) 850-7300

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 5

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

MR. NATHAN SCOTT KELLEY
Behavior Technician
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Beaver County (724) 888-2097
ERIN BAKER LPC
Counselor (Mental Health)
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Beaver County (814) 701-7464
MR. DANIEL PATRICK COYNE M.ED LBS
Behavior Analyst
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Beaver County (724) 766-1412
RAEANN TRISHA SHAFER LBS
Behavior Analyst
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Beaver County (724) 888-2097
MS. MELISSA CHRISTINE DONOHUE MSW, LCSW
Counselor (Professional)
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Beaver County (724) 888-2097

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 Samantha-jo Deitrick's NPI number?

The NPI number for Samantha-jo Deitrick is 1356107908. It was assigned to this individual provider in the NPPES registry on February 22, 2024.

Where is Samantha-jo Deitrick located?

Samantha-jo Deitrick practices at 150 Pleasant Dr Ste 201, Aliquippa, PA 15001. The listed phone number is (724) 888-2097.

What is Samantha-jo Deitrick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samantha-jo Deitrick enrolled in Medicare?

Yes. Samantha-jo Deitrick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha-jo Deitrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha-jo Deitrick reassigns Medicare benefits to 2 organizations: Upmc Presbyterian Shadyside (Pittsburgh, PA) and Pathways Human Services Of Pennsylvania, LLC (Greensburg, PA). Each 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 Samantha-jo Deitrick'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 Samantha-jo Deitrick was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.