DERRICK O HARRIS MSW
NPI 1417960030
Counselor - Mental Health in Ann Arbor, MI

NPI Status: Active since August 14, 2006

Contact Information

5331 PLYMOUTH RD
ANN ARBOR, MI
ZIP 48105
Phone: (734) 996-9111
Fax: (734) 996-1950

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  • Individual
  • Male
  • Years of Experience 35
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DERRICK HARRIS

This page provides the complete NPI Profile along with additional information for Derrick Harris, a provider established in Ann Arbor, Michigan with a medical specialization in Counselor, focusing in mental health and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1417960030 assigned on August 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 6801063325 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1417960030
Provider Name
DERRICK O HARRIS MSW
Gender
Male
Entity Type
Individual
Location Address
5331 PLYMOUTH RD ANN ARBOR, MI 48105
Location Phone
(734) 996-9111
Location Fax
(734) 996-1950
Mailing Address
5331 PLYMOUTH RD ANN ARBOR, MI 48105
Mailing Phone
(734) 996-9111
Mailing Fax
(734) 996-1950
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
Yes
Enumeration Date
08-14-2006
Last Update Date
07-08-2007
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A mental health counselor like Derrick Harris provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
6801063325
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Southeast Michigan Network - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Select - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Silver - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Derrick Harris is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Derrick Harris is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183621766

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20061024000170

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DERRICK O HARRIS MSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417960030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427186006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 6 + 0 + 0 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417960030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043220981AACS, INC.
Organization
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1366455016 MARGARET J CRESSMAN MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1124031984 JULIUS R BALLEW MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1740293513 RICHARD A BARBER MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1356354120 MARGUERITE SARAH BALLEW MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1114930849 BARRY JOEL BREAKEY MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1083627681 SUSAN K GIBNEY LLP
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1740293356 SIDNEY E GREENBERG MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1295748697 JANET K LELAND MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1457364853 LEA A MCGREGOR MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1225041635 JENNIFER A SOLOMON MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1760495170 LINDA W SWAN MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1669485074 MILDRED C TIRADO PHD
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1831102243 GILBERT URENO LLP
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1235142654 SCOTT J WEISSMAN MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1235142662 ELISABETH WEINSTEIN MD
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1790898013 RICHARD R POMEROY MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1780797001 ROBERT MARTIN MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1629184510 TERRY LEE DUNIVIN MSW
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111
1063520708 HEATHER A O'MAHEN WILLIS PHD
Individual
Counselor (Mental Health)5331 PLYMOUTH RD
ANN ARBOR, MI 48105
(734) 996-9111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417960030, enumerated in the NPI registry as an "individual" on August 14, 2006

The provider is located at 5331 Plymouth Rd Ann Arbor, Mi 48105 and the phone number is (734) 996-9111

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 35 years of experience.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on August 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.