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Deactivated NPI 1003010430 Deactivated / Inactive NPI Male Practitioner

Lyle Prather , LAC

Specialist • Craig, CO

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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, Lyle Prather has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 11, 2007
NPI Deactivation Date February 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Lyle Prather, LAC was a registered Specialist practicing in Craig, CO. Throughout an active medical career spanning 13 years, Lyle Prather provided care at the practice location at 2045 W VICTORY WAY until profile deactivation on 2020-02-17.

Practice Location & Contact Primary Location

Practice Address

2045 W Victory Way

Craig, CO 816253439

Telephone 9708242557
Fax 9708242412
Associated Practice Facility / Clinic
🏢 Yampa Valley Psychotherapists Facility NPI 1689897183

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Craig, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Craig, CO (1204 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO 73

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jacqueline Cabrera

Counselor - Mental Health

NPI 1386496206
Kymberly Merrick , LPC

Counselor - Professional

NPI 1962924225

Licensed Professional Counselor

Gary Gurney , LPC

Counselor - Professional

NPI 1992928485

Licensed Professional Counselor

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 February 17, 2020

Record deactivated on February 17, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2045 W VICTORY WAY, CRAIG, CO 816253439 (Tel: 9708242557)

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Updated Business Mailing Address July 08, 2007

Registered at 2045 W VICTORY WAY, CRAIG, CO 816253439 (Tel: 9708242557)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LYLE PRATHER, LAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #73 in CO)

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Initial NPI Registration & Enumeration June 11, 2007

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: 1003010430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2007
Last Update: July 08, 2007
Deactivation Date: February 17, 2020

Mailing Address

2045 W Victory Way

Craig, CO 816253439

Phone: 9708242557

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.