Unknown Individual – Counselor, NPI 1770996944

Counselor

Unknown Individual is a healthcare provider. based in Addison, Texas. specializing in Counselor. They hold a License No. 64837 (TX). The NPI Number for Unknown Individual is 1770996944

Main info

Organization

Inactive

12 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1770996944

Phone

(214) 760-1964

Address

16415 ADDISON RD

Deactivation Date

1 November 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9036759570

Graduation Year

2014 (12 years ago)

PAC ID

4082986955

Group Practice PAC ID

3274702899

Professional Enrollment ID

I20170828002558

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

16415 ADDISON RD
SUITE 640
ADDISON, TX 750013218
Phone: (214) 760-1964
Fax: (214) 760-9505
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 75001)

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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: 3274702899View full group profile

Name	Specialty	State
DR. ROBERT CRAIG NICKS (PHD)	Clinical Psychologist	TX
ANDREA ELLISON (LCSW)	Clinical Social Worker	TX
LYNN H NEGRETE (LPC)	Mental Health Counselor	TX
MR. WILLIAM ARTHUR PACE (L.P.C.)	Mental Health Counselor	TX
CURTIS RAY PICKLE (LPC)	Mental Health Counselor	TX
WILLIAM A MCBRIDE (PHD)	Clinical Psychologist	TX
KATHY LYNN MCLELLAND (M.S., LPC)	Mental Health Counselor	TX
DEENA RAE DAVIS (MA, LPC)	Mental Health Counselor	TX
DAWN MARIE LOWE (PHD)	Clinical Psychologist	TX
BONNY MCBRIDE (LCSW)	-	TX

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1770996944.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Counselor. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Addison, Texas?

If you are local to Addison, Texas, Unknown Individual may be relevant to your search.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.