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Deactivated NPI 1578750410 Deactivated / Inactive NPI Female Practitioner

Donna H Ericsson , MED LPC

Counselor • Ada, OK

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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, Donna Ericsson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2007
NPI Deactivation Date January 31, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Donna Ericsson, MED LPC was a registered Counselor practicing in Ada, OK. Throughout an active medical career spanning 15 years, Donna Ericsson provided care at the practice location at 708 E MAIN until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

708 E Main
Suite B

Ada, OK 74821

Telephone 5804366530
Fax 5809279958

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Ada, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
47 Specialists

Practicing in Ada, OK (4611 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 OK 3399

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 January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2007

Registered at 708 E MAIN, SUITE B, ADA, OK 74821 (Tel: 5804366530)

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Updated Business Mailing Address September 25, 2007

Registered at 20981 CR1560, ADA, OK 74820

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Provider Name / Credentials Updated September 25, 2007

Recorded as DONNA ERICSSON, MED LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Counselor (License #3399 in OK)

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Initial NPI Registration & Enumeration September 25, 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: 1578750410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2007
Last Update: September 25, 2007
Deactivation Date: January 31, 2022

Mailing Address

20981 Cr1560

Ada, OK 74820

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.