Deeqo M Jibril
Counselor • Roxbury, MA
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, Deeqo Jibril has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Deeqo Jibril was a registered Counselor practicing in Roxbury, MA. Throughout an active medical career spanning 8 years, Deeqo Jibril provided care at the practice location at 85 MUNROE ST APT 1 until profile deactivation on 2020-06-26.
Practice Location & Contact Primary Location
85 Munroe St Apt 1
Roxbury, MA 021191650
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Roxbury, MA
Practicing in Roxbury, MA (9162 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Record deactivated on June 26, 2020
Record deactivated on June 25, 2020
NPI status registered as active in NPPES database
Registered at 85 MUNROE ST APT 1, ROXBURY, MA 021191650 (Tel: 6175473616)
Registered at 85 MUNROE ST APT 1, ROXBURY, MA 021191650 (Tel: 6175473616)
Recorded as DEEQO JIBRIL
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
85 Munroe St Apt 1
Roxbury, MA 021191650
Phone: 6175473616
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