Individual provider Active NPI

William Devorick, LPC

  • Mental Health Counselor
  • Lititz, PA
National Provider Identifier
1932929205
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC017703 Issued in PA
Practice address
315 Windmill Way
Lititz, PA 17543-8062
Phone
(717) 419-1847
NPI assigned
Oct 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 PC017703 PA Primary

Addresses

Primary practice location

315 Windmill Way
Lititz, PA 17543-8062

Mailing address

315 Windmill Way
Lititz, PA 17543-8062
Phone (717) 419-1847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20251224000895 PA Practitioner - Mental Health Counselor 9133614340 Practice locations: Lititz, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Highlands Dr
Suite 205
Lititz, PA 17543-7692
Phone (717) 625-0025

13150 Sweet Gum Rd
Brooksville, FL 34613-4195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017703PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1932929205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINDMILL WAY",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438062",
            "telephone_number": "717-419-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINDMILL WAY",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438062",
            "telephone_number": "717-419-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORICK",
        "first_name": "WILLIAM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.