HISTORICAL CREDENTIAL ARCHIVE

1. ADMINISTRATIVE CONTEXT STATEMENT

This page provides a factual archive of historical, inactive, or expired credential records connected to the academic and professional background of Rebecca S. de Vries, Ph.D., LPC. It is maintained for documentation control and historical recordkeeping only.
The active clinical authority for all psychotherapeutic services described on this website is the Pennsylvania Licensed Professional Counselor (LPC) credential.
The Ph.D. reflects academic and research background. It does not indicate psychologist licensure and does not mean this practice provides psychological testing, psychological evaluations, school psychology services, forensic evaluations, disability evaluations, ADHD testing, autism testing, or educational assessment services.

1. ARCHIVE STATUS STATEMENT

The credentials listed on this page are historical, inactive, expired, or no longer part of current practice authority.
They are not current clinical credentials.
They do not authorize current services.
They do not expand the current practice scope.
They do not mean this practice provides school psychology services, psychological testing, psychoeducational evaluations, educational assessments, ADHD assessments, autism assessments, disability evaluations, forensic evaluations, custody evaluations, or services for children or adolescents.

1. CURRENT ACTIVE CLINICAL AUTHORITY

Current psychotherapy services are provided under the Pennsylvania Licensed Professional Counselor credential.

• Active Clinical License: Pennsylvania Licensed Professional Counselor (LPC)
• License Number: PC005515
• Service Type: Individual outpatient psychotherapy
• Delivery Format: Online psychotherapy / telehealth only
• Client Population: Adults age 18 and older
• Client Location Requirement: Clients must be physically located in Pennsylvania at the time of service
• Appointment Model: Scheduled appointments only
• Emergency Status: This practice is not an emergency or crisis-response service

1. HISTORICAL / INACTIVE CREDENTIAL RECORDS

Historical / Inactive Credential Record 1:

• Historical Record Type: Former Pennsylvania School Psychologist professional certificate
• Status: Historical / inactive
• Credential Area: School Psychologist
• Effective Date Shown on Record: June 2006
• Issuing Jurisdiction: Commonwealth of Pennsylvania
• Current Public-Use Meaning: Historical background only
• Current Practice Authority: None

This historical school-psychology credential is not a current practice credential. It does not indicate current school psychology services, psychological testing, psychoeducational evaluation, ADHD assessment, autism assessment, educational evaluation, disability evaluation, forensic evaluation, custody evaluation, or therapy services for children or adolescents.
Historical / Expired Membership Record 2:

• Historical Record Type: National Association of School Psychologists membership certificate
• Status: Historical / expired
• Membership Organization: National Association of School Psychologists
• Expiration / Through Date: June 30, 2013
• Current Public-Use Meaning: Historical professional affiliation only
• Current Practice Authority: None

This expired membership is not a current professional membership and does not indicate current school psychology authority or current school-based services.
Historical / Expired Certification Record 3:

• Historical Record Type: Nationally Certified School Psychologist certification
• Status: Historical / expired
• Certification Organization: National School Psychology Certification Board
• Certification Number: 35449
• Expiration Date: October 31, 2018
• Current Public-Use Meaning: Historical certification evidence only
• Current Practice Authority: None

This expired certification is not current. It does not indicate current school psychology practice, psychological testing, psychoeducational evaluation, educational assessment, forensic evaluation, disability evaluation, ADHD assessment, autism assessment, or services for children or adolescents.

1. HISTORICAL RECORD LIMITATIONS

Historical credential records may document prior training, past professional activity, or older credentials.
Historical credential records do not mean that the current practice provides the services associated with those historical credentials.
Historical credential records do not change the current practice model.
The current practice remains limited to individual online outpatient psychotherapy for adults physically located in Pennsylvania at the time of service.

1. CURRENT SERVICE EXCLUSIONS

This practice does not provide:

1. In-person therapy
2. Walk-in appointments
3. Hybrid in-person and telehealth care
4. Therapy for children or adolescents under age 18
5. Couples therapy
6. Family therapy
7. Group therapy
8. Psychological testing
9. Psychological evaluations
10. Psychoeducational evaluations
11. ADHD assessments
12. Autism assessments
13. Learning-disability evaluations
14. School psychology services
15. Educational evaluations
16. Forensic evaluations
17. Custody evaluations
18. Disability evaluations
19. Court-related evaluations or reports
20. Medication management
21. Psychiatric prescribing
22. Crisis response or emergency intervention services
23. Coaching or consulting services
24. Psychotherapy services for clients located outside Pennsylvania at the time of service
25. PUBLIC INTERPRETATION CONTROL

This archive should not be interpreted as a list of current services.
This archive should not be interpreted as current school psychology authority.
This archive should not be interpreted as a representation that the practice provides testing, evaluations, assessments, reports, school services, child or adolescent services, disability documentation, forensic documentation, or educational documentation.
This archive exists only to separate historical records from current practice authority.

1. EXTERNAL VERIFICATION LINK

Current Pennsylvania professional licensure status may be verified through the Pennsylvania Licensing System:
https://www.pals.pa.gov/verify

1. CLOSING ADMINISTRATIVE STATEMENT

This historical archive is maintained for documentation control only. Current services remain limited to scheduled individual online outpatient psychotherapy for adults physically located in Pennsylvania, provided under the Pennsylvania Licensed Professional Counselor credential.