DERRICK MIKE
NPI 1881064392
Counselor - Mental Health in Albany, GA
About Derrick Mike NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK MIKE (NPI 1881064392) is an individual mental health provider in Albany, Georgia, licensed in Georgia (LPC016713) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derrick Mike is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derrick Mike reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, GA 31707
- Reassigned Medicare billing, Georgia enrollment
- 37 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 Derrick Mike's NPI number?
The NPI number for Derrick Mike is 1881064392. It was assigned to this individual provider in the NPPES registry on September 28, 2015. The provider is also known as Natasha Mike Msw.
Where is Derrick Mike located?
Derrick Mike practices at 404 Sands Dr Ste 2, Albany, GA 31705. The listed phone number is (229) 854-0589.
What is Derrick Mike's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Derrick Mike enrolled in Medicare?
Yes. Derrick Mike is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derrick Mike's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Mike reassigns Medicare benefits to Albany Area Community Svc. Board (Albany, GA). 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 Derrick Mike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Derrick Mike was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Derrick Mike · NPI 1881064392
Mental Health provider in Albany, Georgia. Individual provider, active in the CMS NPPES registry since September 28, 2015.
## Identity
- **NPI:** 1881064392 (Entity type: Individual)
- **Enumerated:** September 28, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC016713 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 404 SANDS DR STE 2, Albany, GA 31705-2772
- **Phone:** (229) 854-0589
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Albany Area Community Svc. Board (NPI 1063464212, Albany, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881064392) · Data from the CMS NPPES public registry.