Unknown Individual – Mental Health Counselor, NPI 1629184338

Mental Health Counselor

Unknown Individual is a healthcare provider. based in Grayslake, Illinois. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1629184338

Main info

Organization

Inactive

43 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1629184338

Phone

(847) 223-7818

Address

349 BEHM DR

Deactivation Date

17 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8472237818

Graduation Year

1983 (43 years ago)

PAC ID

8820171630

Professional Enrollment ID

I20080215000550

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience5

Completeness75

Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

349, Behm Drive, Haryan Farms, Grayslake, Lake County, Illinois, 60030, United States
GRAYSLAKE, IL 600301407
Phone: (847) 223-7818
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.

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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 60030)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1629184338.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for Unknown Individual?

Unknown Individual's geographic hint is Grayslake, Illinois in our summary view.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.