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Deactivated NPI 1386944254 Deactivated / Inactive NPI Male Practitioner

David Hubert Back , MS, CSAC

Counselor • Madison, 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, David Back has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2010
NPI Deactivation Date October 11, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

David Back, MS, CSAC was a registered Counselor practicing in Madison, WI. Throughout an active medical career spanning 8 years, David Back provided care at the practice location at 5310 WALL STREET until profile deactivation on 2018-10-11.

Practice Location & Contact Primary Location

Practice Address

5310 Wall Street
Suite 500

Madison, WI 53718

Telephone 6082748294
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
216 Specialists

Practicing in Madison, WI (872 Statewide)

Telehealth Adoption Rate
0.5% 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

State License WI #830-132

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

12 Associated Practitioners
NPI 1003125469
Amy Vincent , CADCII

Counselor - Addiction (Substance Use Disorder)

NPI 1053502765
David Emmrich , M DIV

Counselor - Pastoral

NPI 1376817437

MDIV

Melissa Ruff , LPC-IT

Counselor - Professional

NPI 1548908890

LPCIT

Tiffany Raley , LPC

Counselor - Professional

NPI 1720680853

Licensed Professional Counselor

Laura Doll , MA

Counselor - Mental Health

NPI 1740599190

Master 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 October 11, 2018

Record deactivated on October 11, 2018

NPI Profile Active October 26, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2010

Registered at 5310 WALL STREET, SUITE 500, MADISON, WI 53718 (Tel: 6082748294)

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Updated Business Mailing Address October 26, 2010

Registered at 5310 WALL STREET, SUITE 500, MADISON, WI 53718 (Tel: 6082748294)

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Provider Name / Credentials Updated October 26, 2010

Recorded as DAVID BACK, MS, CSAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2010

Counselor (License ##830-132 in WI)

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Initial NPI Registration & Enumeration October 26, 2010

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: 1386944254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2010
Last Update: October 26, 2010
Deactivation Date: October 11, 2018

Mailing Address

5310 Wall Street, Suite 500

Madison, WI 53718

Phone: 6082748294

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.