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Deactivated NPI 1164470100 Deactivated / Inactive NPI Male Practitioner

Perry Pullins

Counselor - Professional • Page, AZ

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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, Perry Pullins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2006
NPI Deactivation Date April 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Perry Pullins was a registered Counselor - Professional practicing in Page, AZ. Throughout an active medical career spanning 15 years, Perry Pullins provided care at the practice location at 463 S. LAKE POWELL BLVD until profile deactivation on 2021-04-16.

Practice Location & Contact Primary Location

Practice Address

463 S. Lake Powell Blvd

Page, AZ 86040

Telephone 9286455113
Fax 9286453254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Page, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Page, AZ (3051 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-0255

Definition to come...

Practice Associates & Co-Workers

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

17 Associated Practitioners
NPI 1003426545
Catherine Trudell

Counselor - Professional

NPI 1154379196
Beverly Horton , LPC

Counselor - Professional

NPI 1275598682

Licensed Professional Counselor

Scott Sadler , PA-C

Physician Assistant - Surgical

NPI 1386612265

Physician Assistant (Certified)

Dr. Mark Giesecke , MD

Psychiatry & Neurology - Psychiatry

NPI 1407847601

Doctor of Medicine (M.D.)

Maureen Guilfoyle , LICSW

Social Worker - Clinical

NPI 1407875693

Licensed Independent Clinical Social Worker

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 April 16, 2021

Record deactivated on April 16, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 463 S. LAKE POWELL BLVD, PAGE, AZ 86040 (Tel: 9286455113)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX 790, PAGE, AZ 860400790 (Tel: 9286455113)

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Provider Name / Credentials Updated July 09, 2007

Recorded as PERRY PULLINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #LPC-0255 in AZ)

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Initial NPI Registration & Enumeration May 04, 2006

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: 1164470100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: July 09, 2007
Deactivation Date: April 16, 2021

Mailing Address

Po Box 790

Page, AZ 860400790

Phone: 9286455113

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.