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Deactivated NPI 1194738278 Deactivated / Inactive NPI Male Practitioner

Wayne Craig Peterson , MS

Counselor • Greeneville, 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, Wayne Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2006
NPI Deactivation Date September 08, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Wayne Peterson, MS was a registered Counselor practicing in Greeneville, TN. Throughout an active medical career spanning 11 years, Wayne Peterson provided care at the practice location at 401 HOLSTON DR until profile deactivation on 2017-09-08.

Practice Location & Contact Primary Location

Practice Address

401 Holston Dr
Nolachuckey Mental Health

Greeneville, TN 37743

Telephone 4236391104
Fax 4236368365
Associated Practice Facility / Clinic
🏢 Frontier Health Facility NPI 1760547004

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Greeneville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Greeneville, 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
NPI 1003829144

LPCMHSPLICENSEDPR

Cindy Tvardy , MED, LMFT

Marriage & Family Therapist

NPI 1013019397

Master of Education, Licensed Marriage and Family Therapist

Courtney Holtsclaw , BS

Case Manager/Care Coordinator

NPI 1013090323

Bachelor of Science

NPI 1053538983

Master of Arts

Karen Lane , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063544666

Advanced Practice Registered Nurse

Rebecca Moore , BA

Case Manager/Care Coordinator

NPI 1104909415

Bachelor 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 September 08, 2017

Record deactivated on September 08, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 HOLSTON DR, NOLACHUCKEY MENTAL HEALTH, GREENEVILLE, TN 37743 (Tel: 4236391104)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9054, GRAY, TN 376159054 (Tel: 4234673600)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE PETERSON, MS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

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Initial NPI Registration & Enumeration August 13, 2006

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: 1194738278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 08, 2007
Deactivation Date: September 08, 2017

Mailing Address

Po Box 9054

Gray, TN 376159054

Phone: 4234673600

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.