Individual provider

Delton De Vose, PHD, LPCS, CCS, BCTM

Professional Counselor Addiction (Substance Use Disorder) Counselor

Delton De Vose, PHD, LPCS, CCS, BCTM is a Professional Counselor in Martinez, GA, registered under NPI 1194860759. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4210 COLUMBIA RD STE 11B, Martinez, GA 30907. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4210 COLUMBIA RD STE 11B, Martinez, GA 30907 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
007674 GA Professional Counselor primary
1658 NC Addiction (Substance Use Disorder)…
4985 NC Professional Counselor

Licences are recorded in 2 states: GA, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and North Carolina. The practice address on file is in Martinez, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
007674
Specialty
Professional Counselor
Verify with the GA board →
NC North Carolina
Licence
1658
Specialty
Addiction (Substance Use Disorder)…
Verify with the NC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 007674 GA primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 1658 NC
101YP2500X Professional Counselor Professional 4985 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1194860759 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 21, 2007
Last updatedSep 16, 2020
StatusActive
Sole proprietorYes
CredentialPHD, LPCS, CCS, BCTM
Practice address 4210 COLUMBIA RD STE 11B
Martinez, GA 30907
(706) 364-6576
Fax (888) 445-2452
Other identifiers 3404922 · Other
6103058 · Medicaid (NC)
The last update on file is Sep 16, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1194860759 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 9 4 8 6 0 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 7 6 0 7 1

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1194860759?
NPI 1194860759 is the National Provider Identifier assigned to Delton De Vose, PHD, LPCS, CCS, BCTM in Martinez, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Delton De Vose, PHD, LPCS, CCS, BCTM?
The phone number on file with NPPES is (706) 364-6576, last updated Sep 16, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1194860759 a valid number?
Yes. 1194860759 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.