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Deactivated NPI 1134409139 Deactivated / Inactive NPI Female Practitioner

Clea Elise Dedmon , BA

Counselor • Poteau, 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, Clea Dedmon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2011
NPI Deactivation Date April 17, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Clea Dedmon, BA was a registered Counselor practicing in Poteau, OK. Throughout an active medical career spanning 14 years, Clea Dedmon provided care at the practice location at 309 ROGERS AVE until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

309 Rogers Ave

Poteau, OK 749534227

Telephone 9186475395
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Poteau, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
64 Specialists

Practicing in Poteau, OK (4611 Statewide)

Telehealth Adoption Rate
1.6% 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

4 Associated Practitioners
Wilma Enochs

Counselor - Mental Health

NPI 1063731743
Scott Pittman

Counselor - Mental Health

NPI 1154623494
Freda Binnebose , BA

Behavior Analyst

NPI 1154658011

Bachelor of Arts

Jennifer Davies , BA

Behavior Analyst

NPI 1487981023

Bachelor of Arts

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 April 17, 2025

Record deactivated on April 17, 2025

NPI Profile Active August 22, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 22, 2011

Registered at 309 ROGERS AVE, POTEAU, OK 749534227 (Tel: 9186475395)

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Updated Business Mailing Address August 22, 2011

Registered at PO BOX 332, POTEAU, OK 749530332 (Tel: 9186475395)

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Provider Name / Credentials Updated August 22, 2011

Recorded as CLEA DEDMON, B.A.

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

Counselor

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Initial NPI Registration & Enumeration August 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: 1134409139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2011
Last Update: August 22, 2011
Deactivation Date: April 17, 2025

Mailing Address

Po Box 332

Poteau, OK 749530332

Phone: 9186475395

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.