Individual provider Active NPI

William G Lafferty Jr., PSY.D., L.P.C.

  • Mental Health Counselor
  • Pottstown, PA
National Provider Identifier
1841531365
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC012755 Issued in PA
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

Updated by the provider on Jun 15, 2021

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 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012755PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Creek Psychotherapy LLC CurrentSince Oct 25, 2020 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.

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

Verify at the official NPI Registry.