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Deactivated NPI 1326672163 Deactivated / Inactive NPI Male Practitioner

Idley A Edey

Counselor • Burien, WA

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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, Idley Edey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 02, 2020
NPI Deactivation Date March 12, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Idley Edey was a registered Counselor practicing in Burien, WA. Throughout an active medical career spanning 2 years, Idley Edey provided care at the practice location at 1231 SW 137TH ST APT 460 until profile deactivation on 2022-03-12.

Practice Location & Contact Primary Location

Practice Address

1231 Sw 137th St Apt 460

Burien, WA 981661237

Telephone 2064898824
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Burien, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Burien, WA (11556 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.

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 March 12, 2022

Record deactivated on March 12, 2022

NPI Profile Active March 02, 2020

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2020

Registered at 1231 SW 137TH ST APT 460, BURIEN, WA 981661237 (Tel: 2064898824)

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Updated Business Mailing Address March 02, 2020

Registered at 1700 AIRPORT WAY S, SEATTLE, WA 981341618 (Tel: 2062233644)

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Provider Name / Credentials Updated March 02, 2020

Recorded as IDLEY EDEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2020

Counselor

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Initial NPI Registration & Enumeration March 02, 2020

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: 1326672163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2020
Last Update: March 02, 2020
Deactivation Date: March 12, 2022

Mailing Address

1700 Airport Way S

Seattle, WA 981341618

Phone: 2062233644

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.