Active NPI
William G Lafferty Jr., PSY.D., L.P.C.
- Mental Health Counselor
- Pottstown, PA
National Provider Identifier
1841531365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC012755
- Practice address
- 900 Heritage Dr Ste 910
Pottstown, PA 19464-9223 - Phone
- (610) 850-0090
- Fax
- (610) 850-0089
- NPI assigned
- Mar 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC012755 | PA | Primary |
Addresses
Primary practice location
900 Heritage Dr Ste 910
Pottstown, PA 19464-9223
Mailing address
10 Grays LN
Elverson, PA 19520-9715
Phone (484) 364-9921
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012755 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Creek Psychotherapy LLC | Current | Accepting new patients | |
| Malvern Community Health Services Inc. | Past | Accepting new patients |
Locations
900 Heritage Dr
Ste 910
Pottstown, PA 19464
Phone (484) 433-2025
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Pottstown, PA
- NPI 1801454129
-
- Clinic/Center
- Blue Bell, PA
- NPI 1508921198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1841531365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GRAYS LN",
"city": "ELVERSON",
"state": "PA",
"postal_code": "195209715",
"telephone_number": "484-364-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HERITAGE DR STE 910",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194649223",
"telephone_number": "610-850-0090",
"fax_number": "610-850-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFFERTY",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-07",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC012755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.