1. Home
  2. Directory
  3. Georgia
  4. Albany
  5. Counselor
  6. NPI Profile

DERRICK MIKE
NPI 1881064392
Counselor - Mental Health in Albany, GA

Active since September 28, 2015PECOS Enrolled
404 SANDS DR STE 2, ALBANY, GA 31705(229) 854-0589 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 23, 2026, Sep 28, 2015 (2 updates tracked since 2015).

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.

NPPES Registry Identity

NPI1881064392
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK MIKE
Location Address404 SANDS DR STE 2Albany, GA 31705-2772
Mailing Address801 Swift StAlbany, GA 31705-1360
Phone(229) 854-0589
Sole ProprietorYes
Enumeration DateSeptember 28, 2015
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1881064392 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 GA · LPC016713
404 SANDS DR STE 2, Albany, GA 31705
Open in Google Maps ↗

Other Names 1

Professional Name (2)Natasha Mike Msw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Mike is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 5 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.