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Deactivated NPI 1447557715 Deactivated / Inactive NPI Male Practitioner

Matt L. Nelson , LPC

Counselor - Professional • Enid, 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, Matt Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2011
NPI Deactivation Date January 21, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Matt Nelson, LPC was a registered Counselor - Professional practicing in Enid, OK. Throughout an active medical career spanning 10 years, Matt Nelson provided care at the practice location at 1625 W OWEN K GARRIOTT RD until profile deactivation on 2021-01-21.

Practice Location & Contact Primary Location

Practice Address

1625 W Owen K Garriott Rd
Suite F

Enid, OK 737035653

Telephone 5802424673
Fax 5802424679
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Enid, 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 4348

Definition to come...

Practice Associates & Co-Workers

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

39 Associated Practitioners
Mark Blanchard , BS, BHRS

Counselor - Mental Health

NPI 1013208214

Bachelor of Science, BHRS

NPI 1023430501
NPI 1033515911

LPCCANDIDATE

Rhema Abercrombie

Counselor - Mental Health

NPI 1033573290
NPI 1144551599

Master of Science

Carol Vandiver

Counselor - Mental Health

NPI 1164243002

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated January 21, 2021

Record deactivated on January 21, 2021

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Updated Practice Location June 19, 2018

Registered at 421 E THOMAS AVE, STILLWATER, OK 74075 (Tel: 4053722202)

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Updated Business Mailing Address June 19, 2018

Registered at 421 E THOMAS AVE, STILLWATER, OK 740752600 (Tel: 4053722202)

NPI Profile Active February 22, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 22, 2011

Registered at 1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 737035653 (Tel: 5802424673)

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Updated Business Mailing Address February 22, 2011

Registered at 1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 737035653 (Tel: 5802424673)

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Provider Name / Credentials Updated February 22, 2011

Recorded as MATT NELSON, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2011

Counselor (License #4348 in OK)

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Initial NPI Registration & Enumeration February 22, 2011

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: 1447557715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2011
Last Update: February 22, 2011
Deactivation Date: January 21, 2021

Mailing Address

1625 W Owen K Garriott Rd, Suite F

Enid, OK 737035653

Phone: 5802424673

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.