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Deactivated NPI 1982935516 Deactivated / Inactive NPI Male Practitioner

Jerome Waldon , LPC

Counselor - Addiction (Substance Use Disorder) • Converse, TX

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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, Jerome Waldon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 21, 2010
NPI Deactivation Date May 21, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Jerome Waldon, LPC was a registered Counselor - Addiction (Substance Use Disorder) practicing in Converse, TX. Throughout an active medical career spanning 11 years, Jerome Waldon provided care at the practice location at 6831 CYPRESS MIST DR until profile deactivation on 2021-05-21.

Practice Location & Contact Primary Location

Practice Address

6831 Cypress Mist Dr

Converse, TX 781093403

Telephone 2103929437

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Converse, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Converse, TX (2641 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 - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License TX 8182

Definition to come...

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 May 21, 2021

Record deactivated on May 21, 2021

NPI Profile Active January 21, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 21, 2010

Registered at 6831 CYPRESS MIST DR, CONVERSE, TX 781093403 (Tel: 2103929437)

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Updated Business Mailing Address January 21, 2010

Registered at 6831 CYPRESS MIST DR, CONVERSE, TX 781093403 (Tel: 2103929437)

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Provider Name / Credentials Updated January 21, 2010

Recorded as JEROME WALDON, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2010

Counselor (License #8182 in TX)

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Initial NPI Registration & Enumeration January 21, 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: 1982935516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2010
Last Update: January 21, 2010
Deactivation Date: May 21, 2021

Mailing Address

6831 Cypress Mist Dr

Converse, TX 781093403

Phone: 2103929437

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.