Samantha-Jo Deitrick, MA, LBS, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC018854 Issued in PA

Practice address

150 Pleasant Dr Ste 201
Aliquippa, PA 15001-1360

Phone

(724) 888-2097

Fax

(724) 888-2098

NPI assigned

Feb 22, 2024

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Pathways Human Services of Pennsylvania, LLC

  dba Clarvida

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1043822208
  Medicare reassignment NPD
• Upmc Presbyterian Shadyside

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1821007881
  Medicare reassignment NPD
• Upmc Presbyterian Shadyside

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1750390134
  NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1356107908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LYNN HAVEN DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091335",
            "telephone_number": "724-664-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PLEASANT DR STE 201",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011360",
            "telephone_number": "724-888-2097",
            "fax_number": "724-888-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Williamsburg Pl Ste G2",
            "address_purpose": "LOCATION",
            "city": "Warrendale",
            "state": "PA",
            "postal_code": "150867519",
            "country_code": "US",
            "telephone_number": "216-282-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEITRICK",
        "first_name": "SAMANTHA-JO",
        "credential": "MA, LBS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC018854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ashley Davis, CRNP
• Coral Davis
• Hannah Grace Davis, OTD, OTR/L
• Kelsey Elizabeth Davis, LSW
• Daniel Decker, RN
• Joseph P Dejonckheere, MD
• Cassandra Delisio, RN
• Deliverance Temple Minitries Roots Inc.
• Devin G Depner, OD
• Christopher Dericks

• Counselor in Aliquippa, PA
• Providers in Aliquippa, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.