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Deactivated NPI 1861703886 Deactivated / Inactive NPI Male Practitioner

Benjamin Joseph Trail

Counselor • Tullahoma, TN

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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, Benjamin Trail has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2010
NPI Deactivation Date January 06, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Benjamin Trail was a registered Counselor practicing in Tullahoma, TN. Throughout an active medical career spanning 10 years, Benjamin Trail provided care at the practice location at 709 DAVIDSON ST until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

709 Davidson St

Tullahoma, TN 373883607

Telephone 9313935900

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tullahoma, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
25 Specialists

Practicing in Tullahoma, TN (1666 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cayla Wilburn , BSW

Case Management

NPI 1003301854

Bachelor of Social Work

Blaire Freeman

Case Manager/Care Coordinator

NPI 1033685151
Jade Tibbals

Case Manager/Care Coordinator

NPI 1053638262
Terri Vance , MMFT

Community/Behavioral Health

NPI 1053754747
Morgan Scott

Counselor

NPI 1063723088
Tamara Belinc

Case Manager/Care Coordinator

NPI 1093005860

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 January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2010

Registered at 709 DAVIDSON ST, TULLAHOMA, TN 373883607 (Tel: 9313935900)

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Updated Business Mailing Address June 24, 2010

Registered at 1284 RIDDLE RD, MANCHESTER, TN 373553500 (Tel: 9314094030)

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Provider Name / Credentials Updated June 24, 2010

Recorded as BENJAMIN TRAIL

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

Counselor

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Initial NPI Registration & Enumeration June 24, 2010

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: 1861703886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2010
Last Update: June 24, 2010
Deactivation Date: January 06, 2020

Mailing Address

1284 Riddle Rd

Manchester, TN 373553500

Phone: 9314094030

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.