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MR. WILLIAM DEFELICE LPCC AND LICDC-CS NPI 1770700775


NPI Information

NPI: 1770700775
Provider Name: MR. WILLIAM DEFELICE, LPCC AND LICDC-CS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1891 FULTON AVE
CLEVELAND, OH
ZIP 44113
Phone: (216) 651-0234
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MR. William Defelice, LPCC AND LICDC-CS is a mental health counselor in Cleveland, OH. MR. William Defelice, LPCC AND LICDC-CS NPI is 1770700775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1891 FULTON AVE
CLEVELAND, OH
ZIP 44113
Phone: (216) 651-0234
Fax: (216) 651-1096

The NPI 1770700775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 5/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)975961OHIONo
2101YM0800XCounselorMental HealthE0002866OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000334427OTHEROHIOANTHEM
21000683OTHEROHIOQUAL CHOICE
3215952000OTHEROHIOMAGELLAN
47649640OTHEROHIOAETNA
50193123MEDICAIDOHIO
62038292OTHEROHIOCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.