Unknown Individual – Counseling Psychologist, NPI 1952303851

Unknown Individual is a healthcare provider. based in Granite falls, Minnesota. specializing in Counseling Psychologist. They hold a License No. LP 4218 (MN). The NPI Number for Unknown Individual is 1952303851

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952303851
Phone
(320) 269-1236
Address
235 9TH AVE
Deactivation Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202291500
Graduation Year
1998 (28 years ago)
PAC ID
8628387685
Group Practice PAC ID
3375439953
Professional Enrollment ID
I20151014002654
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • 235, 9th Avenue, Granite Falls, Yellow Medicine County, Minnesota, 56241, United States

    GRANITE FALLS, MN 562411438

    Phone: (320) 269-1236

    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 56241)

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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: 3375439953View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Pain ManagementMN
Physical Therapist In Private PracticeMN
-MN

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1952303851 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Granite Falls?
Public fields place Unknown Individual around Granite Falls, Minnesota. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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