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Deactivated NPI 1528183670 Deactivated / Inactive NPI Male Practitioner

Nathan Leroy Brockelman , MED LPC

Counselor - Professional • Clinton, 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, Nathan Brockelman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2007
NPI Deactivation Date February 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Nathan Brockelman, MED LPC was a registered Counselor - Professional practicing in Clinton, OK. Throughout an active medical career spanning 17 years, Nathan Brockelman provided care at the practice location at RED ROCK WEST MHC 70 -100 N 31 ST until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

Red Rock West Mhc 70 -100 N 31 St

Clinton, OK 736010609

Telephone 5803236021
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Clinton, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Clinton, OK (2681 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 OK LPC #2623

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jessica Stevens , LPN

Counselor - Mental Health

NPI 1003240110

Licensed Practical Nurse

Brittany Shumate

Counselor - Mental Health

NPI 1013292788
Karrie Kiehn , COUSELOR, MENTAL HEA

Case Manager/Care Coordinator

NPI 1013400266

COUSELOR, MENTALHEA

Melissa Holley

Counselor - Mental Health

NPI 1033212337
Sam Davidson , BS

Case Manager/Care Coordinator

NPI 1033236534

Bachelor of Science

Danna Kent , ME

Social Worker - Clinical

NPI 1053732834

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 February 28, 2024

Record deactivated on February 28, 2024

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 RED ROCK WEST MHC 70 -100 N 31 ST, CLINTON, OK 736010609 (Tel: 5803236021)

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Updated Business Mailing Address July 08, 2007

Registered at 1443 KINGSWAY ST, WEATHERFORD, OK 730963409 (Tel: 5807723901)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NATHAN BROCKELMAN, M.ED. LPC

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

Counselor (License #LPC #2623 in OK)

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Initial NPI Registration & Enumeration March 20, 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: 1528183670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: July 08, 2007
Deactivation Date: February 28, 2024

Mailing Address

1443 Kingsway St

Weatherford, OK 730963409

Phone: 5807723901

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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