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Deactivated NPI 1962774281 Deactivated / Inactive NPI Female Practitioner

Lisa Lanette Burris

Counselor • Madill, 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, Lisa Burris has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2012
NPI Deactivation Date September 12, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Lisa Burris was a registered Counselor practicing in Madill, OK. Throughout an active medical career spanning 10 years, Lisa Burris provided care at the practice location at 22328 WILDFLOWER RD until profile deactivation on 2022-09-12.

Practice Location & Contact Primary Location

Practice Address

22328 Wildflower Rd

Madill, OK 734466601

Telephone 5802630158

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Madill, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Madill, 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.

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 September 12, 2022

Record deactivated on September 12, 2022

NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 01, 2012

Registered at 22328 WILDFLOWER RD, MADILL, OK 734466601 (Tel: 5802630158)

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Updated Business Mailing Address February 01, 2012

Registered at 22328 WILDFLOWER RD, MADILL, OK 734466601 (Tel: 5802630158)

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Provider Name / Credentials Updated February 01, 2012

Recorded as LISA BURRIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Counselor

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Initial NPI Registration & Enumeration February 01, 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: 1962774281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2012
Last Update: February 01, 2012
Deactivation Date: September 12, 2022

Mailing Address

22328 Wildflower Rd

Madill, OK 734466601

Phone: 5802630158

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.