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THOMAS DE VITIS JR. MA, LPC
NPI 1831750611
Counselor - Professional in Malvern, PA

Active since June 24, 2019PECOS Enrolled
1200 ATWATER DR STE 130, MALVERN, PA 19355(610) 646-1851(484) 355-5181 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, May 27, 2021 (2 updates tracked since 2021).

About Thomas De Vitis Jr. Ma, Lpc NPPES

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

THOMAS DE VITIS JR. MA, LPC (NPI 1831750611) is an individual professional provider in Malvern, Pennsylvania, licensed in Pennsylvania (PC013103) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831750611
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTHOMAS DE VITIS JR.Credential: MA, LPC
Location Address1200 ATWATER DR STE 130Malvern, PA 19355-8782
Mailing Address1200 Atwater Dr Ste 130Malvern, PA 19355-8782 · (610) 646-1851 · Fax (484) 355-5181
Phone(610) 646-1851
Fax(484) 355-5181
Sole ProprietorNo
Enumeration DateJune 24, 2019
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1831750611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC013103
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1200 ATWATER DR STE 130, Malvern, PA 19355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas De Vitis Jr. Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas De Vitis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellie Main Line LLC
Same address
Mental Health (Including Community Mental Health Center)
1200 ATWATER DR STE 130
Malvern, PA 19355
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1528752037 (610) 646-1851

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

ROSE D MONTGOMERY MSW, LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
EMILY JOY STONE MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
DANA GREENLEE MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
ANNA PIERCE FREDERICK MSSW, LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
JENNY MATLACK MA, LPC, NCC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
JACQUELINE GAZZARA MSW,LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
MR. GARY DAVID ENGLISH MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 632-7745
SAMANTHA ROSE CARTAGENA
Counselor (Mental Health)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851

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 Thomas De Vitis's NPI number?

The NPI number for Thomas De Vitis is 1831750611. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Thomas De Vitis located?

Thomas De Vitis practices at 1200 Atwater Dr Ste 130, Malvern, PA 19355. The listed phone number is (610) 646-1851.

What is Thomas De Vitis's specialty?

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

Is Thomas De Vitis enrolled in Medicare?

Yes. Thomas De Vitis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas De Vitis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas De Vitis reassigns Medicare benefits to Ellie Main Line LLC (Malvern, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas De Vitis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas De Vitis was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.