MR. DEREK J WITTMAN LMHC-D (NY),LPC (PA)
NPI 1952746141
Counselor - Mental Health in Baldwinsville, NY

Active since May 02, 2013Opted out of Medicare · through Apr 1, 2027
3737 THEODOLITE DR, BALDWINSVILLE, NY 13027(315) 281-9488 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Jan 14, 2022 (2 updates tracked since 2022).

About Mr. Derek J Wittman Lmhc-d (ny),lpc (pa) NPPES

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

MR. DEREK J WITTMAN LMHC-D (NY),LPC (PA) (NPI 1952746141) is an individual mental health provider in Baldwinsville, New York, licensed in New York (008137) and active in the NPI registry since May 2013. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1952746141
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEREK J WITTMANCredential: LMHC-D (NY),LPC (PA)
Location Address3737 THEODOLITE DRBaldwinsville, NY 13027-9346
Mailing Address3737 Theodolite DrBaldwinsville, NY 13027-9346 · (315) 743-8050
Sole ProprietorNo
Enumeration DateMay 2, 2013
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1952746141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 008137
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC013511 (PA)
3737 THEODOLITE DR, Baldwinsville, NY 13027

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Derek J Wittman Lmhc-d (ny),lpc (pa) has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3737 THEODOLITE DR
BALDWINSVILLE, NY 13027

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 Derek Wittman's NPI number?

The NPI number for Derek Wittman is 1952746141. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Derek Wittman located?

Derek Wittman practices at 3737 Theodolite Dr, Baldwinsville, NY 13027. The listed phone number is (315) 281-9488.

What is Derek Wittman's specialty?

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

Is Derek Wittman enrolled in Medicare?

No. Derek Wittman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Derek Wittman accept?

Health plans from Providence Health Plan list Derek Wittman 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 Derek Wittman was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.