Derrick Mike

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC016713 Issued in GA

Practice address

404 Sands Dr Ste 2
Albany, GA 31705-2772

Phone

(229) 854-0589

NPI assigned

Sep 28, 2015

Last updated

Apr 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Natasha Mike Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1881064392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SWIFT ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317051360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SANDS DR STE 2",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052772",
            "telephone_number": "229-854-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKE",
        "first_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC016713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "MIKE",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• MH Dental P.C. (Vital Smiles Georgia)
• MH Oral Surgery LLC
• MH Orthodontics
• Andrew Michas, M.D.
• Paul A. Michas, M.D.
• Georgiana B Miksis, MD
• Larry Willis Miles Jr., DMD
• Chesnee Miller, ATC
• Ginger McMath Miller, PHYSICAL THERAPIST
• Gwendolyn Miller

• Mental Health Counselor in Albany, GA
• Providers in Albany, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.