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Deactivated NPI 1073813432 Deactivated / Inactive NPI Male Practitioner

Kerry T Stephens , E-

Counselor - Professional • Springboro, 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, Kerry Stephens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2010
NPI Deactivation Date June 12, 2017
Total Practice Duration ~7 Years of Practice (2010 – 2017)

Professional Overview & Biography Verified Profile Summary

Kerry Stephens, E- was a registered Counselor - Professional practicing in Springboro, OH. Throughout an active medical career spanning 7 years, Kerry Stephens provided care at the practice location at 50 GREENWOOD LN until profile deactivation on 2017-06-12.

Practice Location & Contact Primary Location

Practice Address

50 Greenwood Ln

Springboro, OH 450663033

Telephone 9377461154
Fax 9377468523

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springboro, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Springboro, OH (6923 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 OH E-500224

Definition to come...

Practice Associates & Co-Workers

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

38 Associated Practitioners
Madison Bauer

Counselor - Addiction (Substance Use Disorder)

NPI 1013577857
Jane Johnson , LSW

Social Worker - Clinical

NPI 1043236839

Licensed Social Worker

Charlise Joaen , LSW

Social Worker - Clinical

NPI 1043757586

Licensed Social Worker

Lauren Bernard

Counselor - Mental Health

NPI 1043859390
Gabrielle Holmes-Scott , LISW

Social Worker - Clinical

NPI 1063666246

Licensed Independent Social Worker

Julia Zody , LSW

Social Worker - Clinical

NPI 1073761201

Licensed Social Worker

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 June 12, 2017

Record deactivated on June 12, 2017

NPI Profile Active December 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2011

Registered at 50 GREENWOOD LN, SPRINGBORO, OH 450663033 (Tel: 9377461154)

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Updated Business Mailing Address December 20, 2011

Registered at 975 KINGSVIEW DRIVE, SUITE 400, LEBANON, OH 450368336 (Tel: 5132287854)

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Provider Name / Credentials Updated December 20, 2011

Recorded as KERRY STEPHENS, E-500224

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2011

Counselor (License #E-500224 in OH)

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Initial NPI Registration & Enumeration November 01, 2010

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: 1073813432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2010
Last Update: December 20, 2011
Deactivation Date: June 12, 2017

Mailing Address

975 Kingsview Drive, Suite 400

Lebanon, OH 450368336

Phone: 5132287854

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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