Provider Demographics
NPI:1972696888
Name:DERRINGER, TRISHA JO (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:JO
Last Name:DERRINGER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 171
Mailing Address - Street 2:112 FIRST STREET
Mailing Address - City:DARLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16115
Mailing Address - Country:US
Mailing Address - Phone:724-827-8497
Mailing Address - Fax:
Practice Address - Street 1:2703 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8671
Practice Address - Country:US
Practice Address - Phone:724-657-3303
Practice Address - Fax:724-657-3326
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA600019111OtherMAGELLAN BEHAVIORAL HEALTH
PA2981854OtherUNITED HEALTHCARE
PA9506922OtherMULTIPLAN
PA251830792OtherINTERGROUP SERVICES CORPORATION
PA00000020334OtherUNISON HEALTH PLAN
PA000387546OtherPACIFICARE
PA1908665OtherHIGHMARK BLUE CROSS BLUE SHEILD
PA00000020334OtherUNISON HEALTH PLAN
PA000387546OtherPACIFICARE