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Thomas De Vitis , MA, LPC

Counselor - Professional β€’ Malvern, PA

Active NPI 1831750611 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1200 Atwater Dr Ste 130
Malvern, PA 193558782

Call 6106461851 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

1200 Atwater Dr Ste 130

Malvern, PA 193558782

Telephone 6106461851
Fax 4843555181
Organization at the Same NPPES Address or Phone
Ellie Main Line Llc Facility NPI 1528752037

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

CMS Doctors and Clinicians lists 1 group name: Ellie Main Line Llc. 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

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 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

2019

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)

Thomas De Vitis 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 Thomas De Vitis 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 Malvern and Pennsylvania

37 active clinicians are listed under Counselor - Professional with a practice address in Malvern, PA (9,346 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Malvern

0% of these 37 clinicians have the CMS telehealth indicator.

8.1% of these 37 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: 2024-04-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES PA PC013103
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

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: Pennsylvania Department of State Licensing.
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

I20240516002886

Enrollment State Jurisdiction

PA

PECOS Control ID

7810336559

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

Ellie Main Line Llc

1200 Atwater Dr, Malvern, PA 193558782

Phone: 6106461851

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Rose Montgomery , MSW, LCSW

Social Worker - Clinical

NPI 1124626254

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location April 29, 2024

Registered at 1200 ATWATER DR STE 130, MALVERN, PA 193558782 (Tel: 6106461851)

πŸ“
Updated Business Mailing Address April 29, 2024

Registered at 1200 ATWATER DR STE 130, MALVERN, PA 193558782 (Tel: 6106461851)

πŸ‘€
Provider Name / Credentials Updated April 29, 2024

Recorded as THOMAS DE VITIS, MA, LPC

πŸ“
Updated Practice Location May 27, 2021

Registered at 525 S 4TH ST, PHILADELPHIA, PA 191471570 (Tel: 9089078530)

πŸ‘€
Provider Name / Credentials Updated May 27, 2021

Recorded as THOMAS DE VITIS, LPC

βœ…
NPI Profile Active June 24, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2019

Registered at 638 NEWTOWN YARDLEY RD STE 1F, NEWTOWN, PA 189401740 (Tel: 2158743636)

πŸ“
Business Mailing Address (Initial Record) June 24, 2019

Registered at 638 NEWTOWN YARDLEY RD STE 1F, NEWTOWN, PA 189401740

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2019

Recorded as TOM DE VITIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Counselor

🟒
Initial NPI Registration & Enumeration June 24, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831750611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2019
Last Update: April 29, 2024
Sole Proprietor: No

Mailing Address

1200 Atwater Dr Ste 130

Malvern, PA 193558782

Phone: 6106461851

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.