Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caleb David Devolld, MA, LPCC-S

Individual provider Professional Counselor · NPI 1578082202

Caleb David Devolld, MA, LPCC-S is a Mental Health Counselor in Centerville, Ohio. Qualified in 2017, 9 years ago. Practices with J Kilby Enterprises Inc, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

955 Congress Park Dr
Centerville, OH 45459-4009
Phone: (937) 907-1437
Fax: (937) 741-4788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 529 E Stroop Rd, Dayton, OH 45429-3245 — (937) 294-6004

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2001722-SUPV (OH)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1578082202
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC-S
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address955 Congress Park Dr, Centerville, OH 45459-4009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice J Kilby Enterprises Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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