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Deactivated NPI 1053516856 Deactivated / Inactive NPI Male Practitioner

Steven Fast Wolf , LPCC

Counselor - Professional • Crownpoint, NM

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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, Steven Fast Wolf has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 20, 2007
NPI Deactivation Date April 10, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Steven Fast Wolf, LPCC was a registered Counselor - Professional practicing in Crownpoint, NM. Throughout an active medical career spanning 18 years, Steven Fast Wolf provided care at the practice location at 3029 QUEEN STREET until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

3029 Queen Street

Crownpoint, NM 873131893

Telephone 5057864207

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Crownpoint, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Crownpoint, NM (1328 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NM 0096041

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Counselor

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Updated Practice Location May 10, 2024

Registered at 1601 WESTBROOK RD, MILAN, NM 870214330 (Tel: 5054090726)

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Updated Business Mailing Address May 10, 2024

Registered at PO BOX 3256, MILAN, NM 870213256 (Tel: 5054090726)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2024

Counselor

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 3029 QUEEN STREET, CROWNPOINT, NM 873131893 (Tel: 5057864207)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX 1893, CROWNPOINT, NM 873131893 (Tel: 5057864207)

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Provider Name / Credentials Updated July 09, 2007

Recorded as STEVEN FAST WOLF, LPCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #0096041 in NM)

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Initial NPI Registration & Enumeration June 20, 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: 1053516856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2007
Last Update: July 09, 2007
Deactivation Date: April 10, 2025

Mailing Address

Po Box 1893

Crownpoint, NM 873131893

Phone: 5057864207

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.