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Clinician Referral Engine

A sample territory report

The setup deliverable, shown rather than described. Built from real public registry data for a demonstration territory that belongs to no client, and reduced to counts — nobody is named here.

What you are looking at

Every engagement starts with a Territory Report: the complete set of clinicians who could refer to you, researched individually and ranked by fit. Describing that is easy and unconvincing, so this page runs the real thing against a real territory.

The territory is five towns in western North Carolina — Asheville, Hendersonville, Black Mountain, Weaverville and Arden. It is a demonstration. It is not a client's territory, and no client is involved in this page. It was chosen because it is an ordinary market of roughly the size a practice actually buys.

The records are real, pulled from the public CMS NPPES registry on 3 August 2026. What is published below is counts. No clinician's name, NPI, address or phone number appears here or is kept anywhere in producing it — a demonstration that leaked the thing it claims to handle carefully would rather defeat the point.

The territory, by the numbers

3,118 individual clinicians are registered across those five towns. That number alone is usually the first surprise: practices tend to estimate their referral universe in dozens.

Who could plausibly refer into a behavioural-health practice

Category Clinicians
Therapy and counselling 763
Primary care 691
Psychiatry and psychiatric NPs 40
Paediatrics 24
OB-GYN and women's health 24
Other specialties 1,576

The "other specialties" line is doing honest work here. It is more than half the territory, and in a real engagement most of it is correctly excluded — an orthopaedic surgeon is not a referral source for a counselling practice. Publishing it as a large residual rather than quietly dropping it is the point: the value of the report is what it rules out. A practice that mails all 3,118 has not built a program, it has bought postage.

How those practices are shaped

Practice shape Clinicians
Part of a group 2,198
Solo practitioner 920

This changes the approach more than specialty does. A solo clinician decides alone and can start referring after one good conversation. A group has an internal pathway, a gatekeeper, and often a policy — slower, and worth considerably more when it lands.

Credentials, exactly as the registry holds them

The twelve most common credential strings in this territory, verbatim:

Credential Count
MD 233
M.D 218
PA-C 98
LCSW 91
PHARMD 85
PT 73
DPT 54
CRNA 52
PT, DPT 52
LCMHCA 50
FNP 50
OTR/L 46

Look at the first two rows. MD and M.D are the same credential, recorded two ways, and in this territory they are split almost evenly — 233 and 218. Any rule that matches on the literal string sees two different things, and a report built on it would understate the physician count by nearly half.

That is the whole argument for this product in one table. The data is public and free; anyone can download it. What is difficult is that it is messy in a hundred small ways, each of which turns into a letter addressed to the wrong person, with the wrong title, at a practice that moved. This is also exactly the family of defect that produced the honorific bug described on Hazeley Consulting's about page — where a rule checking for "MD" inside a credential string read MDiv as a medical degree.

What a real report adds

This page shows the shape of a territory. The report a client receives is per-clinician, and adds the parts that require work rather than aggregation:

  • Every clinician individually researched — practice confirmed currently active, specialty focus in practice rather than only the registered taxonomy, and telehealth posture.
  • A fit score per clinician, combining specialty adjacency, practice type, and proximity — which decides who is contacted first, because working the top of a ranked list beats working the whole list badly.
  • Exclusions, with reasons. Retired, moved, wrong specialty, on your suppression list.
  • Wave sequencing — who is in the first drop, the second, the third.
  • Re-verification before every wave, because a list built today is partly wrong in ninety days. In this territory, 181 records carry a published electronic endpoint, which is one of several signals that a practice is currently active rather than merely still listed.

Those per-clinician rows are not published here for the obvious reason: they are about named third parties who did not ask to appear in someone's marketing.

What this does not show

It does not show results. A demonstration report is evidence that the territory is knowable and that the research behind it is real — not evidence of what outreach against it produces. Those are different claims and this page only makes the first.

The figures above are a snapshot from 3 August 2026 and will drift. Clinicians enrol, retire and relocate continuously, which is the reason territory refresh is part of the product rather than a one-time deliverable.