1. Home
  2. Directory
  3. Michigan
  4. Benton Harbor
  5. Counselor
  6. NPI Profile

NICHOLAS DEITRICH LLPC
NPI 1861902884
Counselor - Mental Health in Benton Harbor, MI

Active since October 04, 2017
1485 M 139, BENTON HARBOR, MI 49022(269) 982-0585(269) 927-1326 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Deitrich Llpc NPPES

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

NICHOLAS DEITRICH LLPC (NPI 1861902884) is an individual mental health provider in Benton Harbor, Michigan, licensed in Michigan (6401016143) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1861902884
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS DEITRICHCredential: LLPC
Location Address1485 M 139Benton Harbor, MI 49022-5711
Mailing Address1485 M 139Benton Harbor, MI 49022-5711 · (269) 982-0585 · Fax (269) 927-1326
Phone(269) 982-0585
Fax(269) 927-1326
Sole ProprietorNo
Enumeration DateOctober 4, 2017
✔ NPI 1861902884 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 · 6401016143
1485 M 139, Benton Harbor, MI 49022
Open in Google Maps ↗

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.

JACQUELINE R BONARDI
Counselor (Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MS. AMBER KAY FERGISON
Social Worker (Clinical)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
SAMUEL SAINT-PHARD
Behavior Technician
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
APRIL K REYBUCK RN
Registered Nurse (Psychiatric/Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 934-0119
SHANIYA HINES
Peer Specialist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 985-0585
THERESE ZITTA
Occupational Therapist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MR. DAVID ANDREW LAWRENCE MSW
Social Worker
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585

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 Nicholas Deitrich's NPI number?

The NPI number for Nicholas Deitrich is 1861902884. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Nicholas Deitrich located?

Nicholas Deitrich practices at 1485 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 982-0585.

What is Nicholas Deitrich's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicholas Deitrich was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.