Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831750611 Individual Practitioner Male Practitioner

Thomas De Vitis , MA, LPC

Counselor - Professional • Malvern, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas De Vitis, MA, LPC is a certified Counselor - Professional practicing in Malvern, PA. With approximately 12 years of clinical experience since completing medical education in 2014, Thomas De Vitis delivers high-quality medical care to the local community at 1200 ATWATER DR STE 130.

Thomas De Vitis is affiliated with Ellie Main Line Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1200 Atwater Dr Ste 130

Malvern, PA 193558782

Telephone 6106461851
Fax 4843555181
Associated Practice Facility / Clinic
🏢 Ellie Main Line Llc Facility NPI 1528752037

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Malvern, PA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -3.2 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
37 Specialists

Practicing in Malvern, PA (9514 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

Clinical Seniority & Experience Comparison

Dr. De Vitis (12 Years) 12 Yrs
Malvern Specialty Average (15.2 Years) 15.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-04-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License PA PC013103

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Hospital & Practice Group Affiliations

Ellie Main Line Llc

1200 Atwater Dr, Malvern, PA 193558782

Phone: 6106461851

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Rose Montgomery , MSW, LCSW

Social Worker - Clinical

NPI 1124626254

Master of Social Work, Licensed Clinical Social Worker

Emily Stone , MS, LPC

Counselor - Professional

NPI 1184028805

Master of Science, Licensed Professional Counselor

Dana Greenlee , MS, LPC

Counselor - Professional

NPI 1295507267

Master of Science, Licensed Professional Counselor

Anna Frederick , MSSW, LCSW

Social Worker - Clinical

NPI 1336250612

MSSW, Licensed Clinical Social Worker

Jenny Matlack , MA, LPC, NCC

Counselor - Professional

NPI 1376940015

Master of Arts, Licensed Professional Counselor, National Certified Counselor

Jacqueline Gazzara , MSW, LCSW

Social Worker - Clinical

NPI 1407354350

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 29, 2024

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

📍
Updated Business Mailing Address April 29, 2024

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

👤
Provider Name / Credentials Updated April 29, 2024

Recorded as THOMAS DE VITIS, MA, LPC

📍
Updated Practice Location May 27, 2021

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

👤
Provider Name / Credentials Updated May 27, 2021

Recorded as THOMAS DE VITIS, LPC

NPI Profile Active June 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2019

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

📍
Updated Business Mailing Address June 24, 2019

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

👤
Provider Name / Credentials Updated June 24, 2019

Recorded as TOM DE VITIS

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.