Unknown Individual – Mental Health Counselor, NPI 1245647890

Unknown Individual is a healthcare provider. based in Aurelia, Iowa. specializing in Mental Health Counselor. They hold a License No. 072621 (IA). The NPI Number for Unknown Individual is 1245647890

Main info

Organization
Inactive
12 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245647890
Phone
(712) 434-2562
Address
200 MILLER DR
Deactivation Date
11 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7122130109
Graduation Year
2014 (12 years ago)
PAC ID
7012275050
Group Practice PAC ID
1456362615
Professional Enrollment ID
I20171220000723
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 200 MILLER DR

    AURELIA, IA 510057737

    Phone: (712) 434-2562

    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 51005)

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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: 1456362615View full group profile
NameSpecialtyState
-NE
Family Practice, Obstetrics/GynecologyAK
Clinical Social WorkerIA
Emergency MedicineIA
Clinical Social WorkerIA
Nurse PractitionerIA
-IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1245647890.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Aurelia, Iowa because that is what the record indicates for Unknown Individual.
What if Aurelia, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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