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Deactivated NPI 1306124508 Deactivated / Inactive NPI Female Practitioner

Charlene Cooper

Counselor • Gainesville, FL

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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, Charlene Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2011
NPI Deactivation Date November 21, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Charlene Cooper was a registered Counselor practicing in Gainesville, FL. Throughout an active medical career spanning 13 years, Charlene Cooper provided care at the practice location at 4300 SW 13TH ST until profile deactivation on 2024-11-21.

Practice Location & Contact Primary Location

Practice Address

4300 Sw 13th St

Gainesville, FL 326084006

Telephone 3523745600
Fax 3523745608
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
427 Specialists

Practicing in Gainesville, FL (3441 Statewide)

Telehealth Adoption Rate
0.2% 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
Roger Smith

Counselor

NPI 1003077637
Joseph Palmer

Counselor

NPI 1003079021
Mabel Che-Tuma

Registered Nurse

NPI 1003109729
Charnette Merritt

Social Worker - Clinical

NPI 1003111402
Kelly Miller

Counselor

NPI 1003119223
Murielle Saint-Jean

Case Manager/Care Coordinator

NPI 1003126038

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 July 22, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2011

Registered at 4300 SW 13TH ST, GAINESVILLE, FL 326084006 (Tel: 3523745600)

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Updated Business Mailing Address July 22, 2011

Registered at 4300 SW 13TH ST, GAINESVILLE, FL 326084006 (Tel: 3523745600)

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Provider Name / Credentials Updated July 22, 2011

Recorded as CHARLENE COOPER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2011

Counselor

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Initial NPI Registration & Enumeration July 22, 2011

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: 1306124508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2011
Last Update: July 22, 2011
Deactivation Date: November 21, 2024

Mailing Address

4300 Sw 13th St

Gainesville, FL 326084006

Phone: 3523745600

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.