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Deactivated NPI 1194418368 Deactivated / Inactive NPI Male Practitioner

Michael O'brien , CPRP

Peer Specialist • Petoskey, MI

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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, Michael O'brien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2023
NPI Deactivation Date August 14, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Michael O'Brien, CPRP was a registered Peer Specialist practicing in Petoskey, MI. Throughout an active medical career spanning 2 years, Michael O'Brien provided care at the practice location at 704 EMMET ST until profile deactivation on 2025-08-14.

Practice Location & Contact Primary Location

Practice Address

704 Emmet St

Petoskey, MI 497702910

Telephone 2313475511
Associated Practice Facility / Clinic
🏢 Harbor Hall, Inc. Facility NPI 1962551648

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Petoskey, MI

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

Practicing in Petoskey, MI (1765 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License MI CPRC

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.

Practice Associates & Co-Workers

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

38 Associated Practitioners
NPI 1003690132

CADCD

Roy Angel

Counselor - Addiction (Substance Use Disorder)

NPI 1013482728
Danielle Plastino , BSW, CADC-DP

Case Manager/Care Coordinator

NPI 1043916125

Bachelor of Social Work, CADCDP

Paul Gauden

Behavior Technician

NPI 1053288514
Maureen Todd

Counselor - Professional

NPI 1053851519
NPI 1114634912

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 August 14, 2025

Record deactivated on August 14, 2025

NPI Profile Active June 01, 2023

NPI status registered as active in NPPES database

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Updated Practice Location June 01, 2023

Registered at 704 EMMET ST, PETOSKEY, MI 497702910 (Tel: 2313475511)

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Updated Business Mailing Address June 01, 2023

Registered at 704 EMMET ST, PETOSKEY, MI 497702910 (Tel: 2313475511)

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Provider Name / Credentials Updated June 01, 2023

Recorded as MICHAEL O'BRIEN, CPRP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2023

Peer Specialist (License #CPRC in MI)

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Initial NPI Registration & Enumeration June 01, 2023

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: 1194418368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2023
Last Update: June 01, 2023
Deactivation Date: August 14, 2025

Mailing Address

704 Emmet St

Petoskey, MI 497702910

Phone: 2313475511

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.