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

NPI Status: Active since February 22, 2024

Contact Information

150 PLEASANT DR STE 201
ALIQUIPPA, PA
ZIP 15001
Phone: (724) 888-2097
Fax: (724) 888-2098

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  • Individual
  • Female
  • Years of Experience 4
  • Counselor
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SAMANTHA-JO DEITRICK

This page provides the complete NPI Profile along with additional information for Samantha-jo Deitrick, a provider established in Aliquippa, Pennsylvania with a medical specialization in Counselor and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1356107908 assigned on February 2024. The practitioner's primary taxonomy code is 101Y00000X with license number PC018854 (PA). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1356107908
Provider Name
SAMANTHA-JO DEITRICK MA, LBS, NCC
Gender
Female
Entity Type
Individual
Location Address
150 PLEASANT DR STE 201 ALIQUIPPA, PA 15001
Location Phone
(724) 888-2097
Location Fax
(724) 888-2098
Mailing Address
145 LYNN HAVEN DR BEAVER, PA 15009
Mailing Phone
(724) 664-7445
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
02-22-2024
Last Update Date
04-21-2026
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Location Map

Secondary Locations

  • 1 Williamsburg Pl Ste G2
    Warrendale, PA 15086
    (216) 282-7355

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
PC018854
License State
PA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Samantha-jo Deitrick is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Samantha-jo Deitrick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8325546336

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250808003688

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SAMANTHA-JO DEITRICK MA, LBS, NCC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356107908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 2 + 0 + 1 + 4 + 9 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1356107908.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Professional)
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Behavior Analyst
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Behavior Technician
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Behavior Analyst
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001
Counselor (Mental Health)
150 PLEASANT DR STE 201
ALIQUIPPA, PA 15001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356107908, enumerated as an "individual" on February 22, 2024.

The provider is located at 150 PLEASANT DR STE 201 ALIQUIPPA, PA 15001 and the phone number is (724) 888-2097.

Counselor with taxonomy code 101Y00000X.