Unknown Individual – Counseling Psychologist, NPI 1518278886

Unknown Individual is a healthcare provider. based in Medina, Ohio. specializing in Counseling Psychologist. They hold a License No. 4173 (OH). The NPI Number for Unknown Individual is 1518278886

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518278886
Phone
(330) 764-7916
Address
3591 RESERVE COMMONS DR
Deactivation Date
5 January 2021

Doctor Profile

Medical School Name
OHIO MEDICAL UNIVERSITY
Secondary Phone
3307647916
Graduation Year
1988 (38 years ago)
PAC ID
1850415027
Group Practice PAC ID
2163310475
Professional Enrollment ID
I20100825000927
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

  • 3591 RESERVE COMMONS DR

    SUITE 301

    MEDINA, OH 442565334

    Phone: (330) 764-7916

    Fax: (330) 723-6399

    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

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44256)

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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: 2163310475View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1518278886.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Counseling Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Medina, Ohio.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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