Unknown Individual – Mental Health Counselor, NPI 1669789665

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1669789665

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669789665
Phone
(813) 405-9531
Address
4818 N HIGHLAND AVE
Deactivation Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212460775
Graduation Year
2004 (22 years ago)
PAC ID
5193142651
Group Practice PAC ID
2769723402
Professional Enrollment ID
I20200828000917
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4818 N HIGHLAND AVE

    TAMPA, FL 336032000

    Phone: (813) 405-9531

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769723402View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Mental Health CounselorFL
Mental Health CounselorOH
Nurse PractitionerWI
Mental Health CounselorFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1669789665.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Tampa, Florida as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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