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Caleb David Devolld , MA, LPCC-S

Counselor - Professional β€’ Centerville, OH

Active NPI 1578082202 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

955 Congress Park Dr
Centerville, OH 454594009

Call 9379071437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

955 Congress Park Dr

Centerville, OH 454594009

Telephone 9379071437
Fax 9377414788
Organization at the Same NPPES Address or Phone
J. Kilby Enterprises, Inc. Facility NPI 1316652894

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dayton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: J Kilby Enterprises Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Caleb Devolld has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Caleb Devolld as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Centerville and Ohio

34 active clinicians are listed under Counselor - Professional with a practice address in Centerville, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Centerville

0% of these 34 clinicians have the CMS telehealth indicator.

11.8% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.2001722-SUPV
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20241022005138

Enrollment State Jurisdiction

OH

PECOS Control ID

9931632437

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

J Kilby Enterprises Inc

955 Congress Park Dr, Centerville, OH 454594009

Phone: 9377418708

Secondary Practice Locations

529 E Stroop Rd

Dayton, OH 454293245

Phone: 9372946004

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 04, 2024

Registered at 955 CONGRESS PARK DR, CENTERVILLE, OH 454594009 (Tel: 9379071437)

πŸ“
Updated Business Mailing Address September 04, 2024

Registered at 955 CONGRESS PARK DR, CENTERVILLE, OH 454594009 (Tel: 9379071437)

πŸ‘€
Provider Name / Credentials Updated September 04, 2024

Recorded as CALEB DEVOLLD, MA, LPCC-S

βœ…
NPI Profile Active September 13, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2017

Registered at 529 E STROOP RD, DAYTON, OH 454293245 (Tel: (937) 294-6004)

πŸ“
Business Mailing Address (Initial Record) September 13, 2017

Registered at 529 E STROOP RD, DAYTON, OH 454293245 (Tel: 9372946004)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2017

Recorded as CALEB DEVOLLD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2017

Counselor

🟒
Initial NPI Registration & Enumeration September 13, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578082202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2017
Last Update: September 04, 2024
Sole Proprietor: No

Mailing Address

955 Congress Park Dr

Centerville, OH 454594009

Phone: 9379071437

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.