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Deactivated NPI 1194083063 Deactivated / Inactive NPI Male Practitioner

Jon Jason Wade

Counselor • Antlers, 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, Jon Wade has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 30, 2012
NPI Deactivation Date June 16, 2021
Total Practice Duration ~9 Years of Practice (2012 – 2021)

Professional Overview & Biography Verified Profile Summary

Jon Wade was a registered Counselor practicing in Antlers, OK. Throughout an active medical career spanning 9 years, Jon Wade provided care at the practice location at 106 SE 2ND ST until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

106 Se 2nd St
1/2

Antlers, OK 745230000

Telephone 5802981199
Fax 5802981199

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Antlers, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
57 Specialists

Practicing in Antlers, 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

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

10 Associated Practitioners
Patti Allensworth

Case Manager/Care Coordinator

NPI 1316210578
Lonnie Parks , BHRS

Psychologist - Rehabilitation

NPI 1609128677
Mallory House

Case Manager/Care Coordinator

NPI 1619300381
Jody Hallman

Case Management

NPI 1669718250
Amanda Kirk

Case Manager/Care Coordinator

NPI 1689017071
Hayley Rinehart

Case Management

NPI 1730431792

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 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 30, 2012

Registered at 106 SE 2ND ST, 1/2, ANTLERS, OK 745230000 (Tel: 5802981199)

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Updated Business Mailing Address April 30, 2012

Registered at 106 SE 2ND ST, 1/2, ANTLERS, OK 745230000 (Tel: 5802981199)

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Provider Name / Credentials Updated April 30, 2012

Recorded as JON WADE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Counselor

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Initial NPI Registration & Enumeration April 30, 2012

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: 1194083063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2012
Last Update: April 30, 2012
Deactivation Date: June 16, 2021

Mailing Address

106 Se 2nd St, 1/2

Antlers, OK 745230000

Phone: 5802981199

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.