Unknown Individual – Marriage & Family Therapist, NPI 1578827457

Unknown Individual is a healthcare provider. based in Emily, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 2511 (MN). The NPI Number for Unknown Individual is 1578827457

Main info

Organization
Inactive
17 Years Of Experience
Name
Unknown Individual
NPI
1578827457
Phone
(612) 790-7083
Address
PO BOX 128
Deactivation Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8224577069
Professional Enrollment ID
I20240826000904
Address ID
MN553502132Hu1417XSWXX400
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

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for Unknown Individual

  • PO BOX 128

    EMILY, MN 564470128

    Phone: (612) 790-7083

    Type: Mailing

  • 155 SHADY RIDGE RD NW

    HUTCHINSON, MN 553501460

    Phone: (320) 234-3451

    Type: Location

  • 4298 WOODS WAY

    MINNETONKA, MN 553452968

    Phone: (612) 819-9426

    Type: Mailing

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

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 56447)

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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 1578827457.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Emily, Minnesota; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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