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Deactivated NPI 1073674032 Deactivated / Inactive NPI Female Practitioner

Dr. Sally A Bernard , LPC LIC DC

Counselor • North Canton, OH

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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, Dr. Sally Bernard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2006
NPI Deactivation Date September 18, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Sally Bernard, LPC LIC DC was a registered Counselor practicing in North Canton, OH. Throughout an active medical career spanning 11 years, Dr. Bernard provided care at the practice location at 1177 SOUTH MAIN ST until profile deactivation on 2017-09-18.

Practice Location & Contact Primary Location

Practice Address

1177 South Main St

North Canton, OH 449204200

Telephone 3304991338
Fax 3304990052
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in North Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
9 Specialists

Practicing in North Canton, OH (4163 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

State License OH C0004093

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

7 Historical Events
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NPI Profile Deactivated September 18, 2017

Record deactivated on September 18, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1177 SOUTH MAIN ST, NORTH CANTON, OH 449204200 (Tel: 3304991338)

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Updated Business Mailing Address July 08, 2007

Registered at 1177 SOUTH MAIN ST, NORTH CANTON, OH 449204200 (Tel: 3304991338)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SALLY BERNARD, LPC LIC DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #C0004093 in OH)

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Initial NPI Registration & Enumeration December 13, 2006

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: 1073674032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 08, 2007
Deactivation Date: September 18, 2017

Mailing Address

1177 South Main St

North Canton, OH 449204200

Phone: 3304991338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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