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Deactivated NPI 1104945468 Deactivated / Inactive NPI Male Practitioner

Ed Dyer , LSW

Counselor - Professional • Youngstown, 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, Ed Dyer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2007
NPI Deactivation Date April 08, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Ed Dyer, LSW was a registered Counselor - Professional practicing in Youngstown, OH. Throughout an active medical career spanning 14 years, Ed Dyer provided care at the practice location at 310 CHURCHILL HUBBARD RD until profile deactivation on 2021-04-08.

Practice Location & Contact Primary Location

Practice Address

310 Churchill Hubbard Rd
Suite A

Youngstown, OH 445051371

Telephone 3307593040
Fax 3307593070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
191 Specialists

Practicing in Youngstown, OH (6923 Statewide)

Telehealth Adoption Rate
2.6% 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 E0002126

Definition to come...

Practice Associates & Co-Workers

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

19 Associated Practitioners
Jennifer Palumbo , LPCC

Counselor - Professional

NPI 1013036292

Licensed Professional Clinical Counselor

Gabriella Sammarone

Counselor - Mental Health

NPI 1013740943
Jeffrey Cosola

Counselor - Mental Health

NPI 1013749498
Deborah Tamburino , LPCC

Counselor - Professional

NPI 1063531242

Licensed Professional Clinical Counselor

Kathleen Mccoy , LICDC, LISW-S

Social Worker - Clinical

NPI 1144680752

LICDC, LISWS

NPI 1245066034

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 April 08, 2021

Record deactivated on April 08, 2021

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 310 CHURCHILL HUBBARD RD, SUITE A, YOUNGSTOWN, OH 445051371 (Tel: 3307593040)

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Updated Business Mailing Address July 08, 2007

Registered at 1414 MAPLECREST DR, AUSTINTOWN, OH 445153803

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Provider Name / Credentials Updated July 08, 2007

Recorded as ED DYER, LSW

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

Counselor (License #E0002126 in OH)

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Initial NPI Registration & Enumeration March 28, 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: 1104945468
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 08, 2007
Deactivation Date: April 08, 2021

Mailing Address

1414 Maplecrest Dr

Austintown, OH 445153803

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.