DESIREE M VANDERLICK LPC
NPI 1639967227
Counselor - Professional in Hazleton, PA
About Desiree M Vanderlick Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESIREE M VANDERLICK LPC (NPI 1639967227) is an individual professional provider in Hazleton, Pennsylvania, licensed in Pennsylvania (PC019861) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Desiree M Vanderlick 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.
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 Desiree Vanderlick's NPI number?
The NPI number for Desiree Vanderlick is 1639967227. It was assigned to this individual provider in the NPPES registry on April 25, 2025.
Where is Desiree Vanderlick located?
Desiree Vanderlick practices at 1730 E Broad St Ste 5, Hazleton, PA 18201. The listed phone number is (570) 266-2155.
What is Desiree Vanderlick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Desiree Vanderlick enrolled in Medicare?
Yes. Desiree Vanderlick 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.
When was this NPI record last updated?
The NPPES record for Desiree Vanderlick was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Desiree M Vanderlick, LPC · NPI 1639967227
Professional provider in Hazleton, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 25, 2025.
## Identity
- **NPI:** 1639967227 (Entity type: Individual)
- **Enumerated:** April 25, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC019861 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1730 E BROAD ST STE 5, Hazleton, PA 18201-5657
- **Phone:** (570) 266-2155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639967227) · Data from the CMS NPPES public registry.