Individual provider Active NPI

Lingyu Detrick, LMHCT

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1265065478
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
096006 Issued in IA
Practice address
332 S Linn St Ste 40
Iowa City, IA 52240-1608
Phone
(319) 849-5069
NPI assigned
Feb 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 096006 IA Primary

Addresses

Primary practice location

332 S Linn St Ste 40
Iowa City, IA 52240-1608

Mailing address

332 S Linn St Ste 40
Iowa City, IA 52240-1608
Phone (319) 849-5069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
096006IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Detrick Mental Health Counseling Services Mental Health Current Accepting new patients
Akbay Mental Health Counseling Services, PLC PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1265065478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S LINN ST STE 40",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401608",
            "telephone_number": "319-849-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S LINN ST STE 40",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401608",
            "telephone_number": "319-849-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRICK",
        "first_name": "LINGYU",
        "credential": "LMHCT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "096006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.