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Deactivated NPI 1386908333 Deactivated / Inactive NPI Male Practitioner

Clinton Dennard , MS LPC-INTERN

Counselor - Professional • Waco, 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, Clinton Dennard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2012
NPI Deactivation Date February 05, 2026
Total Practice Duration ~14 Years of Practice (2012 – 2026)

Professional Overview & Biography Verified Profile Summary

Clinton Dennard, MS LPC-INTERN was a registered Counselor - Professional practicing in Waco, TX. Throughout an active medical career spanning 14 years, Clinton Dennard provided care at the practice location at 185 EASTGATE PLZ until profile deactivation on 2026-02-05.

Practice Location & Contact Primary Location

Practice Address

185 Eastgate Plz

Waco, TX 767052868

Telephone 2544950330
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
168 Specialists

Practicing in Waco, TX (21203 Statewide)

Telehealth Adoption Rate
2.4% 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 69403

Definition to come...

Practice Associates & Co-Workers

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

8 Associated Practitioners
Lynette Herring , LPC A

Counselor - Professional

NPI 1235893967

LPCA

NPI 1245641661
Deena Wright , LPC

Counselor - Professional

NPI 1336208545

Licensed Professional Counselor

NPI 1366050601

Doctor of Chiropractic

Breann Gilchrest , LPC-I

Counselor - Professional

NPI 1407488927

LPCI

NPI 1457875080

Master of Arts, LPCI

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

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Updated Practice Location August 16, 2021

Registered at 3500 HILLCREST DR STE 8, WACO, TX 767083144 (Tel: 2542623506)

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Updated Business Mailing Address August 16, 2021

Registered at 3500 HILLCREST DR STE 8, WACO, TX 767083144 (Tel: 2542623506)

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Provider Name / Credentials Updated August 16, 2021

Recorded as CLINTON DENNARD, M.S. LPC

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Updated Practice Location April 09, 2020

Registered at 4900 SANGER AVE, WACO, TX 767105866 (Tel: 2544950330)

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Updated Business Mailing Address April 09, 2020

Registered at 4900 SANGER AVE, WACO, TX 767105866 (Tel: 2544950330)

NPI Profile Active June 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2012

Registered at 185 EASTGATE PLZ, WACO, TX 767052868 (Tel: 2544950330)

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Updated Business Mailing Address June 25, 2012

Registered at 4020 HUACO LN, WACO, TX 767104922 (Tel: 2544950330)

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Provider Name / Credentials Updated June 25, 2012

Recorded as CLINTON DENNARD, M.S. LPC-INTERN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2012

Counselor (License #69403 in TX)

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Initial NPI Registration & Enumeration June 25, 2012

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: 1386908333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2012
Last Update: June 25, 2012
Deactivation Date: February 05, 2026

Mailing Address

4020 Huaco Ln

Waco, TX 767104922

Phone: 2544950330

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.