Individual provider Active NPI

Devin Degroat, NONE

  • Mental Health Counselor
  • London, OH
National Provider Identifier
1679230445
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2304872-TRNE Issued in OH
Practice address
1375 US Highway 42 SE
Ste C
London, OH 43140-9548
Phone
(614) 845-8652
Fax
(614) 503-0899
NPI assigned
Nov 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 C.2304872-TRNE OH Primary

Addresses

Primary practice location

1375 US Highway 42 SE
Ste C
London, OH 43140-9548

Mailing address

1375 US Highway 42 SE
Ste C
London, OH 43140-9548
Phone (614) 879-8067

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
C.2304872-TRNEOHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1679230445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE",
            "address_2": "STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "614-879-8067",
            "fax_number": "614-503-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE",
            "address_2": "STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "614-845-8652",
            "fax_number": "614-503-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "DEVIN",
        "credential": "NONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-02-22",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2304872-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.