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Deactivated NPI 1598414807 Deactivated / Inactive NPI Female Practitioner

Madison Dirkes

Peer Specialist • Temecula, 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, Madison Dirkes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2022
NPI Deactivation Date March 30, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Madison Dirkes was a registered Peer Specialist practicing in Temecula, CA. Throughout an active medical career spanning 1 years, Madison Dirkes provided care at the practice location at 40925 COUNTY CENTER DR STE 110 until profile deactivation on 2022-03-30.

Practice Location & Contact Primary Location

Practice Address

40925 County Center Dr Ste 110

Temecula, CA 925916037

Telephone 9519406233

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Temecula, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Temecula, CA (4567 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

CMS Verified: 2023-04-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-BHKNWJ

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners
Elizabeth Lagunas

Case Manager/Care Coordinator

NPI 1154130441
Alvin Aldana

Counselor

NPI 1942946991

Career & Practice History Timeline

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

6 Historical Events
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Updated Practice Location June 08, 2022

Registered at 40925 COUNTY CENTER DR STE 110, TEMECULA, CA 925916037 (Tel: 9519406233)

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Updated Business Mailing Address June 08, 2022

Registered at 45356 VIA JACA, TEMECULA, CA 92592 (Tel: 7205059682)

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Provider Name / Credentials Updated June 08, 2022

Recorded as MADISON DIRKES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2022

Counselor

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NPI Profile Deactivated March 30, 2022

Record deactivated on March 30, 2022

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Initial NPI Registration & Enumeration March 22, 2022

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: 1598414807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2022
Last Update: April 17, 2023
Deactivation Date: March 30, 2022
Sole Proprietor: No

Mailing Address

45356 Via Jaca

Temecula, CA 92592

Phone: 7205059682

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.