Unknown Individual – Mental Health Counselor, NPI 1174530554

Unknown Individual is a healthcare provider. based in El dorado, Arkansas. specializing in Mental Health Counselor. They hold a License No. PO307029 (AR). The NPI Number for Unknown Individual is 1174530554

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174530554
Phone
(870) 875-2800
Address
219 N JACKSON AVE
Deactivation Date
8 January 2026
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

  • 219, North Jackson Avenue, El Dorado, Union County, Arkansas, 71730, United States

    EL DORADO, AR 717305803

    Phone: (870) 875-2800

    Fax: (870) 875-2804

    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.

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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 71730)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1174530554 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near El Dorado?
Unknown Individual currently maps to El Dorado, Arkansas in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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