Individual provider Active NPI

William Defelice, LPCC AND LICDC-CS

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1770700775
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002866 Issued in OH
Practice address
8170 South Ave Ste 7
Youngstown, OH 44512-6434
Phone
(330) 953-3325
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0002866 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 975961 OH

Addresses

Primary practice location

8170 South Ave Ste 7
Youngstown, OH 44512-6434

Mailing address

3435 Lee Rd
Shaker Heights, OH 44120-3649
Phone (216) 752-9090

Other practice location 1

3435 Lee Rd
Shaker Heights, OH 44120-3649
Phone (216) 752-9090

Other identifiers 6

IdentifierTypeStateIssuer
000000334427OtherOHANTHEM
1000683OtherOHQUAL CHOICE
215952000OtherOHMAGELLAN
0193123MedicaidOH
7649640OtherOHAETNA
2038292OtherOHCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160309002516 OH Practitioner - Clinical Social Worker 9931405453 Reassigns benefits to 3 organizations
I20240802002805 OH Practitioner - Mental Health Counselor 9931405453 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
975961OHMDAddiction (Substance Use Disorder) Counselor
E0002866OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mental Health, LLC Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Mindfulness-Counseling Professional CurrentSince Jan 5, 2016 Accepting new patients
Doctor on Demand Professionals P C CurrentSince May 11, 2024 Accepting new patients
Alliance Mental Health, LLC CurrentSince Jun 1, 2025 Accepting new patients
Digital Care Team of Oh LLC Addiction (Substance Use Disorder) CurrentSince Feb 1, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Looking Forward Mental Health Center Addiction (Substance Use Disorder) Past Accepting new patients
Hallie B. Durchslag, LTD PastSince Jan 5, 2016 Accepting new patients
Strive Mental Health and Wellness LLC PastSince May 18, 2019 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

800 Enterprise Dr
Ste 214
Oak Brook, IL 60523

3100 E 45th St
Ste 511
Cleveland, OH 44127
Phone (773) 817-5928

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871

4175 Stoneridge Ln
Dublin, OH 43017
Phone (614) 504-4733

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738

Interoperability endpoints

  • Direct secure messaging: williamdefelice@tdh.allscriptsdirect.net
  • Direct secure messaging: william.defelice.1@30520.direct.athenahealth.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1770700775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203649",
            "telephone_number": "216-752-9090",
            "fax_number": "216-752-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 SOUTH AVE STE 7",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126434",
            "telephone_number": "330-953-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 Lee Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441203649",
            "country_code": "US",
            "telephone_number": "216-752-9090",
            "fax_number": "216-752-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LPCC AND LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002866",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "975961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000334427",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "1000683",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "215952000",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7649640",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2038292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.