Aryeh Leib Devorkin

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7091-226 Issued in WI

Practice address

4530 N Oakland Ave
Whitefish Bay, WI 53211-1215

Phone

(414) 803-1302

NPI assigned

Jul 28, 2022

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stress Management and Mental Health ClinicsGroup PAC ID 8426954066, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Stress Management & Mental Health Clinics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1003928391
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1922734235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 N OAKLAND AVE",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532111215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 N OAKLAND AVE",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532111215",
            "telephone_number": "414-803-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORKIN",
        "first_name": "ARYEH",
        "middle_name": "LEIB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "7091-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Courtney, MS/CCC-S:L
• Heidi Cranston
• Cumare LLC (BrightStar of North Milwaukee)
• Dan Fitzgerald Pharmacy,Inc
• Joseph Davey
• Joseph Anthony Diguiseppi
• Jo Hawkins Donovan, MA
• Katrina Renee Ehresman
• Carie Eldred
• Era Wellness LLC

• Counselor in Whitefish Bay, WI
• Providers in Whitefish Bay, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.