Deactivated NPI 1639587553 Deactivated / Inactive NPI Male Practitioner

Jorge De Leon

Counselor • Fresno, CA

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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, Jorge De Leon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2014

NPI Deactivation Date September 13, 2023

Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Jorge De Leon was a registered Counselor practicing in Fresno, CA. Throughout an active medical career spanning 9 years, Jorge De Leon provided care at the practice location at 5940 E MONTECITO AVE until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

5940 E Montecito Ave

Fresno, CA 937275531

Telephone 8055503293

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fresno, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

615 Specialists

Practicing in Fresno, CA (14303 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.

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 September 13, 2023

Record deactivated on September 13, 2023

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NPI Profile Active August 19, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2014

Registered at 5940 E MONTECITO AVE, FRESNO, CA 937275531 (Tel: 8055503293)

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Updated Business Mailing Address August 19, 2014

Registered at 5940 E MONTECITO AVE, FRESNO, CA 937275531 (Tel: 8055503293)

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Provider Name / Credentials Updated August 19, 2014

Recorded as JORGE DE LEON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2014

Counselor

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Initial NPI Registration & Enumeration July 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1639587553

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 23, 2014

Last Update: August 19, 2014

Deactivation Date: September 13, 2023

Update or Correct Profile

Mailing Address

5940 E Montecito Ave

Fresno, CA 937275531

Phone: 8055503293

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.