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

Individual provider Counselor · NPI 1396549697

Casey Rae De Vito, LPC is a Mental Health Counselor in Southaven, Mississippi. Qualified in 2022, 4 years ago. Practices with Desoto Family Counseling Center PLLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2025
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

8626 Airways Blvd
Southaven, MS 38671-2603
Phone: (662) 772-5937
Fax: (662) 772-5940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 County Road 108, Water Valley, MS 38965-3911 — (601) 341-3633

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3238 (MS)
Counselor Taxonomy 101Y00000X

Record details

NPI number1396549697
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address333 County Road 108, Water Valley, MS 38965-3911

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Desoto Family Counseling Center Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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