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
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Desiree Vanderlick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilkes Barre, PA 18702
- Reassigned Medicare billing, Pennsylvania enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Desiree Vanderlick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Vanderlick reassigns Medicare benefits to Children's Service Center Of Wyoming Valley, Inc (Wilkes Barre, PA). The 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 Desiree Vanderlick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Desiree Vanderlick accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Desiree Vanderlick 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 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 3 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.
# 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
- **Bills Medicare through:** Children's Service Center Of Wyoming Valley, Inc (NPI 1700861242, Wilkes Barre, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **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.