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Deactivated NPI 1962895151 Deactivated / Inactive NPI Male Practitioner

Justin Hartsock

Counselor • Miami, 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, Justin Hartsock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 11, 2015
NPI Deactivation Date September 06, 2023
Total Practice Duration ~8 Years of Practice (2015 – 2023)

Professional Overview & Biography Verified Profile Summary

Justin Hartsock was a registered Counselor practicing in Miami, OK. Throughout an active medical career spanning 8 years, Justin Hartsock provided care at the practice location at 111 S TREATY RD until profile deactivation on 2023-09-06.

Practice Location & Contact Primary Location

Practice Address

111 S Treaty Rd

Miami, OK 743545327

Telephone 9185401511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Miami, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Miami, OK (4611 Statewide)

Telehealth Adoption Rate
5.9% 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

40 Associated Practitioners
Katherine Burke , MS

Case Manager/Care Coordinator

NPI 1013221571

Master of Science

Phillip Horn

Counselor - Mental Health

NPI 1013253111
Nina Short

Peer Specialist

NPI 1033864103
Brandon Maples

Peer Specialist

NPI 1043838899
Caroline Jones

Case Manager/Care Coordinator

NPI 1043971138
Jennifer Shobe

Counselor - Mental Health

NPI 1053658351

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 06, 2023

Record deactivated on September 06, 2023

NPI Profile Active March 11, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2015

Registered at 111 S TREATY RD, MIAMI, OK 743545327 (Tel: 9185401511)

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Updated Business Mailing Address March 11, 2015

Registered at 111 S TREATY RD, MIAMI, OK 743545327 (Tel: 9185401511)

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Provider Name / Credentials Updated March 11, 2015

Recorded as JUSTIN HARTSOCK

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2015

Counselor

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Initial NPI Registration & Enumeration March 11, 2015

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: 1962895151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2015
Last Update: March 11, 2015
Deactivation Date: September 06, 2023

Mailing Address

111 S Treaty Rd

Miami, OK 743545327

Phone: 9185401511

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.