CALEB DAVID DEVOLLD MA, LPCC-S
NPI 1578082202
Counselor - Professional in Centerville, OH

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
955 CONGRESS PARK DR, CENTERVILLE, OH 45459(937) 907-1437(937) 741-4788 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Jul 21, 2022, Sep 13, 2017 (3 updates tracked since 2017).

About Caleb David Devolld Ma, Lpcc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB DAVID DEVOLLD MA, LPCC-S (NPI 1578082202) is an individual professional provider in Centerville, Ohio, licensed in Ohio (E.2001722-SUPV) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578082202
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCALEB DAVID DEVOLLDCredential: MA, LPCC-S
Location Address955 CONGRESS PARK DRCenterville, OH 45459-4009
Mailing Address955 Congress Park DrCenterville, OH 45459-4009 · (937) 907-1437 · Fax (937) 741-4788
Fax(937) 741-4788
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1578082202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E.2001722-SUPV
955 CONGRESS PARK DR, Centerville, OH 45459

Secondary Practice Location 1

Location 1529 E Stroop RdDayton, OH 45429-3245 · Phone (937) 294-6004

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Caleb David Devolld Ma, Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931632437
PECOS Enrollment IDI20241022005138
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Social Worker (Clinical)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Social Worker (Clinical)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Counselor (Professional)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Counselor (Mental Health)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Counselor (Professional)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Counselor (Mental Health)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459
Counselor (Mental Health)
955 CONGRESS PARK DR
CENTERVILLE, OH 45459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caleb Devolld's NPI number?

The NPI number for Caleb Devolld is 1578082202. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Caleb Devolld located?

Caleb Devolld practices at 955 Congress Park Dr, Centerville, OH 45459. The listed phone number is (937) 907-1437.

What is Caleb Devolld's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Caleb Devolld enrolled in Medicare?

Yes. Caleb Devolld is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caleb Devolld accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and Providence Health Plan and 1 other insurer list Caleb Devolld as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caleb Devolld was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.