MR. JUSTIN DEITRICK LGPC
NPI 1417660663
Counselor - Professional in Glenwood, MD

Q: What is Justin Deitrick's NPI number?

The NPI number for Justin Deitrick is 1417660663. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Q: What is Justin Deitrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Deitrick was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 03, 2023

3700 CHAMPIONSHIP DR, GLENWOOD, MD 21738(443) 472-1349 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Justin Deitrick Lgpc NPPES

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

MR. JUSTIN DEITRICK LGPC (NPI 1417660663) is an individual professional provider in Glenwood, Maryland, licensed in Maryland (LGP1399) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1417660663

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JUSTIN DEITRICKCredential: LGPC

Location Address3700 CHAMPIONSHIP DRGlenwood, MD 21738-9311

Mailing Address3700 Championship DrGlenwood, MD 21738-9311

Phone(443) 472-1349

Sole ProprietorNo

Enumeration DateJanuary 3, 2023

NPPES CertifiedJanuary 3, 2023

✔ NPI 1417660663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LGP1399

Also ListedCounselor · SchoolTaxonomy 101YS0200X

3700 CHAMPIONSHIP DR, Glenwood, MD 21738

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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 Justin Deitrick's NPI number?

The NPI number for Justin Deitrick is 1417660663. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Justin Deitrick located?

Justin Deitrick practices at 3700 Championship Dr, Glenwood, MD 21738. The listed phone number is (443) 472-1349.

What is Justin Deitrick's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Deitrick was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.