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Deactivated NPI 1407084080 Deactivated / Inactive NPI Male Practitioner

Stephen Jay Brockmole

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

Registration / Start Date June 23, 2009
NPI Deactivation Date June 21, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Stephen Brockmole was a registered Counselor - Professional practicing in Darrington, WA. Throughout an active medical career spanning 12 years, Stephen Brockmole provided care at the practice location at 5318 CHIEF BROWN LN until profile deactivation on 2021-06-21.

Practice Location & Contact Primary Location

Practice Address

5318 Chief Brown Ln

Darrington, WA 982419420

Telephone 3604361028
Fax 3604360242
Associated Practice Facility / Clinic
🏢 Sauk-Suiattle Indian Tribe Facility NPI 1265588537

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Darrington, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Darrington, WA (615 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WA CP00000217

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners

COUNSELORREGISTERE

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 June 21, 2021

Record deactivated on June 21, 2021

NPI Profile Active June 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 23, 2009

Registered at 5318 CHIEF BROWN LN, DARRINGTON, WA 982419420 (Tel: 3604361028)

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Updated Business Mailing Address June 23, 2009

Registered at 5318 CHIEF BROWN LANE, DARRINGTON, WA 982412212 (Tel: 3604361028)

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Provider Name / Credentials Updated June 23, 2009

Recorded as STEPHEN BROCKMOLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2009

Counselor (License #CP00000217 in WA)

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Initial NPI Registration & Enumeration June 23, 2009

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: 1407084080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2009
Last Update: June 23, 2009
Deactivation Date: June 21, 2021

Mailing Address

5318 Chief Brown Lane

Darrington, WA 982412212

Phone: 3604361028

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.