Michaela J. Detrick, LPC, CAADC
NPI 1144990961ActiveIndividual· Counselor, Professional· Williamsport, PA
Counselor, Professional (LPC, CAADC) in Williamsport, Pennsylvania, licensed in PA, with an NPI issued in September 2021. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1144990961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, CAADC |
| Sole proprietor | No |
| NPI issued | Sep 14, 2021 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | PC013722 | PA |
| Counselor, Mental Health | 101YM0800X | PC013722 | PA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 10091 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (PA) |
|---|
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