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Deactivated NPI 1063657344 Deactivated / Inactive NPI Male Practitioner

Stephen Philip Lively , MED, LPC

Counselor - Professional • Keller, 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, Stephen Lively has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 15, 2008
NPI Deactivation Date June 25, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Stephen Lively, MED, LPC was a registered Counselor - Professional practicing in Keller, TX. Throughout an active medical career spanning 18 years, Stephen Lively provided care at the practice location at 4109 CHISOS RIM CT until profile deactivation on 2026-06-25.

Practice Location & Contact Primary Location

Practice Address

4109 Chisos Rim Ct

Keller, TX 762487951

Telephone 8177983602

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
66 Specialists

Practicing in Keller, TX (21203 Statewide)

Telehealth Adoption Rate
1.5% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 61138

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated June 25, 2026

Record deactivated on June 25, 2026

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Updated Practice Location March 14, 2024

Registered at 417 HAWTHORNE ST, ABILENE, TX 796052701 (Tel: 8177983602)

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Updated Business Mailing Address March 14, 2024

Registered at 417 HAWTHORNE ST, ABILENE, TX 796052701 (Tel: 3257890895)

NPI Profile Active December 15, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 15, 2008

Registered at 4109 CHISOS RIM CT, KELLER, TX 762487951 (Tel: 8177983602)

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Updated Business Mailing Address December 15, 2008

Registered at 4109 CHISOS RIM CT, KELLER, TX 762487951 (Tel: 8177983602)

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Provider Name / Credentials Updated December 15, 2008

Recorded as STEPHEN LIVELY, M.ED., LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2008

Counselor (License #61138 in TX)

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Initial NPI Registration & Enumeration December 15, 2008

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: 1063657344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2008
Last Update: December 15, 2008
Deactivation Date: June 25, 2026

Mailing Address

4109 Chisos Rim Ct

Keller, TX 762487951

Phone: 8177983602

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.