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Deactivated NPI 1942835244 Deactivated / Inactive NPI Female Practitioner

Amy Katherine Prodan

Counselor • Trenton, 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, Amy Prodan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 06, 2020
NPI Deactivation Date July 19, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Amy Prodan was a registered Counselor practicing in Trenton, FL. Throughout an active medical career spanning 3 years, Amy Prodan provided care at the practice location at 728 NE 7TH ST until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

728 Ne 7th St

Trenton, FL 326933637

Telephone 3524870064
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Trenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Trenton, FL (3441 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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Bianca Pope

Case Manager/Care Coordinator

NPI 1093391088
Leesha London

Counselor

NPI 1265950810
Virginia Stegall , EDS, LMHC, AND LMFT

Marriage & Family Therapist

NPI 1437443546

EDS, Licensed Mental Health Counselor, ANDLMFT

Tracy Bell

Counselor

NPI 1548877418
Theresa Coman , LCSW

Social Worker - Clinical

NPI 1598995110

Licensed Clinical Social Worker

Lauren Blount

Counselor

NPI 1770184483

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 July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active March 06, 2020

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2020

Registered at 728 NE 7TH ST, TRENTON, FL 326933637 (Tel: 3524870064)

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Updated Business Mailing Address March 06, 2020

Registered at 4300 SW 13TH STREET, HR CREDENTIALING, GAINESVILLE, FL 326084006 (Tel: 3523745600)

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Provider Name / Credentials Updated March 06, 2020

Recorded as AMY PRODAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Counselor

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Initial NPI Registration & Enumeration March 06, 2020

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: 1942835244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2020
Last Update: March 06, 2020
Deactivation Date: July 19, 2023

Mailing Address

4300 Sw 13th Street, Hr Credentialing

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.