NPI age
19 years
Enumerated 2007-02-21
● Active
Type 1 · Individual
MR. Delton Wade De Vose, PHD, LPCS, CCS, BCTM
De Vose is 1 of 40 counselor providers in Martinez and 1 of 7547 in Georgia.
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7547 active counselor providers in Georgia.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
4210 Columbia Rd Ste 11b
Martinez, GA 309070443
Mailing address
4210 Columbia Rd Ste 11b
Martinez, GA 309070443
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 3404922 | BCBS |
| 05 (NC) | 6103058 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.