DERRICK O HARRIS MSW
NPI 1417960030
Counselor - Mental Health in Ann Arbor, MI

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
5331 PLYMOUTH RD, ANN ARBOR, MI 48105(734) 996-9111(734) 996-1950 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Derrick O Harris Msw NPPES

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

DERRICK O HARRIS MSW (NPI 1417960030) is an individual mental health provider in Ann Arbor, Michigan, licensed in Michigan (6801063325) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1417960030
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK O HARRISCredential: MSW
Location Address5331 PLYMOUTH RDAnn Arbor, MI 48105-9520
Mailing Address5331 Plymouth RdAnn Arbor, MI 48105-9520 · (734) 996-9111 · Fax (734) 996-1950
Fax(734) 996-1950
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417960030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6801063325
5331 PLYMOUTH RD, Ann Arbor, MI 48105

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derrick O Harris Msw 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.

PECOS PAC ID4183621766
PECOS Enrollment IDI20061024000170
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 20

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

Counselor (Mental Health)
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Community/Behavioral Health
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Counselor (Mental Health)
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Counselor (Mental Health)
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Social Worker
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Counselor (Mental Health)
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Counselor (Mental Health)
5331 PLYMOUTH RD
ANN ARBOR, MI 48105
Social Worker (Clinical)
5331 PLYMOUTH RD
ANN ARBOR, MI 48105

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 Derrick Harris's NPI number?

The NPI number for Derrick Harris is 1417960030. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Derrick Harris located?

Derrick Harris practices at 5331 Plymouth Rd, Ann Arbor, MI 48105. The listed phone number is (734) 996-9111.

What is Derrick Harris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Derrick Harris enrolled in Medicare?

Yes. Derrick Harris 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.

What insurance does Derrick Harris accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Derrick Harris 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 Derrick Harris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.