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Deactivated NPI 1578187357 Deactivated / Inactive NPI Male Practitioner

Iris Paul

Counselor • Bethel, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Iris Paul has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2020
NPI Deactivation Date November 21, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Iris Paul was a registered Counselor practicing in Bethel, AK. Throughout an active medical career spanning 4 years, Iris Paul provided care at the practice location at 1360 CALISTA DR until profile deactivation on 2024-11-21.

Practice Location & Contact Primary Location

Practice Address

1360 Calista Dr

Bethel, AK 99559

Telephone 9075436830
Fax 9075433454
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bethel, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
444 Specialists

Practicing in Bethel, AK (1191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Samuel Moses

Counselor

NPI 1013382555
NPI 1013398205
Sven Williams

Counselor

NPI 1013403310
NPI 1033584578
NPI 1053724641
Ritchie Hall

Counselor

NPI 1053852467

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 21, 2024

Record deactivated on November 21, 2024

NPI Profile Active June 08, 2020

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2020

Registered at 1360 CALISTA DR, BETHEL, AK 99559 (Tel: 9075436830)

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Updated Business Mailing Address June 08, 2020

Registered at PO BOX 528, BETHEL, AK 995590528 (Tel: 9075436830)

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Provider Name / Credentials Updated June 08, 2020

Recorded as IRIS PAUL

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2020

Counselor

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Initial NPI Registration & Enumeration June 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578187357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2020
Last Update: June 08, 2020
Deactivation Date: November 21, 2024

Mailing Address

Po Box 528

Bethel, AK 995590528

Phone: 9075436830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.