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Deactivated NPI 1083261929 Deactivated / Inactive NPI Male Practitioner

Tanner Dakota Simpson

Counselor - Professional • Brookfield, WI

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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, Tanner Simpson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2019
NPI Deactivation Date May 14, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Tanner Simpson was a registered Counselor - Professional practicing in Brookfield, WI. Throughout an active medical career spanning 1 years, Tanner Simpson provided care at the practice location at 3505 N 124TH ST until profile deactivation on 2024-05-14.

Tanner Simpson did not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3505 N 124th St

Brookfield, WI 53005

Telephone 4144314444
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Brookfield, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -10.8 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
143 Specialists

Practicing in Brookfield, WI (4511 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simpson (2 Years) 2 Yrs
Brookfield Specialty Average (12.8 Years) 12.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 12496-125

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100279284 (WI)

Practice Associates & Co-Workers

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

37 Associated Practitioners
Karlie Bellante

Counselor - Mental Health

NPI 1003748005
Emily Dammen , LPC

Counselor - Professional

NPI 1053000141

Licensed Professional Counselor

Elaine Kruswicki

Student in an Organized Health Care Education/Training Program

NPI 1063146926
Hinhpalom Phouybanhdyt , MS

Counselor - Professional

NPI 1063685634

Master of Science

NPI 1093988651

Doctor of Philosophy (Ph.D.)

Jane Gabrielson

Counselor - Professional

NPI 1104368570

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location April 15, 2026

Registered at 3505 N 124TH ST, BROOKFIELD, WI 53005 (Tel: 4144314444)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2026

Counselor (License #12496-125 in WI)

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Updated Business Mailing Address June 03, 2024

Registered at 3505 N 124TH ST, BROOKFIELD, WI 530052489

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NPI Profile Reactivated May 29, 2024

Record officially reactivated for active practice on May 29, 2024

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NPI Profile Deactivated May 14, 2024

Record deactivated on May 14, 2024

NPI Profile Active August 26, 2019

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2019

Registered at 120 S BARSTOW ST, EAU CLAIRE, WI 547013642 (Tel: 7158322221)

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Updated Business Mailing Address August 26, 2019

Registered at 120 S BARSTOW ST, EAU CLAIRE, WI 547013642

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Provider Name / Credentials Updated August 26, 2019

Recorded as TANNER SIMPSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 26, 2019

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: 1083261929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2019
Last Update: April 15, 2026
Deactivation Date: May 14, 2024
Sole Proprietor: No

Mailing Address

3505 N 124th St

Brookfield, WI 530052489

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.