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Deactivated NPI 1306234182 Deactivated / Inactive NPI Male Practitioner

Dean Tackett

Counselor • Tulsa, 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, Dean Tackett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2015
NPI Deactivation Date June 15, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Dean Tackett was a registered Counselor practicing in Tulsa, OK. Throughout an active medical career spanning 6 years, Dean Tackett provided care at the practice location at 6333 E SKELLY DR until profile deactivation on 2021-06-15.

Practice Location & Contact Primary Location

Practice Address

6333 E Skelly Dr

Tulsa, OK 741356106

Telephone 9186644224
Fax 9186630203
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
917 Specialists

Practicing in Tulsa, OK (4611 Statewide)

Telehealth Adoption Rate
0.5% 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

State License OK 101Y0000X

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
Jerry Manus

Case Manager/Care Coordinator

NPI 1003465246
Krystal Hutchinson

Peer Specialist

NPI 1003502592
Tanya Crawford , RN

Registered Nurse

NPI 1003662297

Registered Nurse

Kimberly Tripp

Peer Specialist

NPI 1013606078
Jayson Swisher

Peer Specialist

NPI 1023798022
Glory Kalakurcha , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1033344411

Master 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 June 15, 2021

Record deactivated on June 15, 2021

NPI Profile Active January 02, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 02, 2015

Registered at 6333 E SKELLY DR, TULSA, OK 741356106 (Tel: 9186644224)

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Updated Business Mailing Address January 02, 2015

Registered at 6613 S LEWIS AVE APT 247, TULSA, OK 741361027 (Tel: 9184426495)

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Provider Name / Credentials Updated January 02, 2015

Recorded as DEAN TACKETT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2015

Counselor (License #101Y0000X in OK)

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Initial NPI Registration & Enumeration January 02, 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: 1306234182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2015
Last Update: January 02, 2015
Deactivation Date: June 15, 2021

Mailing Address

6613 S Lewis Ave Apt 247

Tulsa, OK 741361027

Phone: 9184426495

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.