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Deactivated NPI 1568137602 Deactivated / Inactive NPI Female Practitioner

Braedyn West , LPC

Counselor • Whitehall, 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, Braedyn West has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2021
NPI Deactivation Date December 28, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Braedyn West, LPC was a registered Counselor practicing in Whitehall, OH. Throughout an active medical career spanning 2 years, Braedyn West provided care at the practice location at 4653 E MAIN ST until profile deactivation on 2023-12-28.

Practice Location & Contact Primary Location

Practice Address

4653 E Main St

Whitehall, OH 432133298

Telephone 6148752371
Associated Practice Facility / Clinic
🏢 The Buckeye Ranch, Inc Facility NPI 1649230236

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Whitehall, OH

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

Practicing in Whitehall, 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

CMS Verified: 2024-08-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.2406371

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003388869

Registered Behavior Technician, QMHS

Katherine Fringer

Case Manager/Care Coordinator

NPI 1003648882
Andrew Morton

Case Manager/Care Coordinator

NPI 1003740366
NPI 1003747197
Kristina Armstrong

Case Manager/Care Coordinator

NPI 1003750381
Taylor White

Counselor

NPI 1013491307

Career & Practice History Timeline

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

14 Historical Events
👤
Provider Name / Credentials Updated August 19, 2024

Recorded as BRAEDYN WEST, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2024

Counselor (License #C.2406371 in OH)

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Updated Practice Location January 07, 2024

Registered at 4653 E MAIN ST, WHITEHALL, OH 432133298 (Tel: 6148752371)

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Updated Business Mailing Address January 07, 2024

Registered at 4653 E MAIN ST, WHITEHALL, OH 432133298

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Provider Name / Credentials Updated January 07, 2024

Recorded as BRAEDYN WEST, CT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2024

Counselor (License #C.2405421-TRNE in OH)

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NPI Profile Reactivated January 03, 2024

Record officially reactivated for active practice on January 03, 2024

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NPI Profile Deactivated December 28, 2023

Record deactivated on December 28, 2023

NPI Profile Active August 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2021

Registered at 1015 PENNSYLVANIA AVE, IRWIN, PA 156423737 (Tel: 8662872036)

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Updated Business Mailing Address August 11, 2021

Registered at 1015 PENNSYLVANIA AVE, IRWIN, PA 156423737 (Tel: 8662872036)

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Provider Name / Credentials Updated August 11, 2021

Recorded as BRAEDYN WEST

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration August 11, 2021

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: 1568137602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2021
Last Update: August 19, 2024
Deactivation Date: December 28, 2023
Sole Proprietor: Yes

Mailing Address

4653 E Main St

Whitehall, OH 432133298

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.