Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1376536367

Unknown Individual is a healthcare provider. based in Ann arbor, Michigan. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 2-00035 (MI). The NPI Number for Unknown Individual is 1376536367

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1376536367
Phone
(173) 466-3787
Address
1480 SHEVCHENKO DR
Deactivation Date
15 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346637871
Graduation Year
1976 (50 years ago)
PAC ID
3678506060
Professional Enrollment ID
I20050915000903
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1480 SHEVCHENKO DR

    ANN ARBOR, MI 481039001

    Phone: (173) 466-3787

    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.

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Medicare Enrollment & Revalidation

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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 48103)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1376536367; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Addiction (Substance Use Disorder) Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Michigan?
You will see Ann Arbor, Michigan on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.