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Active NPI 1861876211 Individual Practitioner Female Practitioner

Mallory Rose Devona , MS, NCC, LPC

Counselor • Waterford, CT

Professional Overview & Biography Verified Profile Summary

Mallory Devona, MS, NCC, LPC is a registered healthcare professional specializing in Counselor in Waterford, CT. Practice services are available at 2 LEARY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Leary Dr

Waterford, CT 06385

Telephone 8608574769
Associated Practice Facility / Clinic
🏢 Mia Vita Counseling Llc Facility NPI 1215413505

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Waterford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Waterford, CT (1438 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License CT 2789

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
008060321 (CT)

Secondary Practice Locations

47 Town St

Norwich, CT 063602323

Phone: 8608927042

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 29, 2018

Registered at 2 LEARY DR, WATERFORD, CT 06385 (Tel: 8608574769)

📍
Updated Business Mailing Address July 29, 2018

Registered at 2 LEARY DR, WATERFORD, CT 063853707 (Tel: 8608574769)

NPI Profile Active July 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2015

Registered at 47 TOWN ST, NORWICH, CT 063602323 (Tel: 8608927042)

📍
Updated Business Mailing Address July 15, 2015

Registered at 112 GREAT NECK RD, WATERFORD, CT 063853504 (Tel: 8608574769)

👤
Provider Name / Credentials Updated July 15, 2015

Recorded as MALLORY DEVONA, MS, NCC, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2015

Counselor (License #2789 in CT)

🟢
Initial NPI Registration & Enumeration July 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861876211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2015
Last Update: July 29, 2018
Sole Proprietor: No

Mailing Address

2 Leary Dr

Waterford, CT 063853707

Phone: 8608574769

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.