Unknown Individual – Marriage & Family Therapist, NPI 1174542005

Unknown Individual is a healthcare provider. based in Colorado springs, Colorado. specializing in Marriage & Family Therapist. They hold a License No. 96 (CO). The NPI Number for Unknown Individual is 1174542005

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174542005
Phone
(719) 471-1225
Address
10 BOULDER CRESCENT ST
Deactivation Date
26 December 2024
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

  • 10, Boulder Crescent Street, Colorado Springs, El Paso County, Colorado, 80903, United States

    SUITE 102G

    COLORADO SPRINGS, CO 809033344

    Phone: (719) 471-1225

    Fax: (719) 471-1225

    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 80903)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1174542005 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where in Colorado is Unknown Individual registered?
Use Colorado Springs, Colorado as the headline location for Unknown Individual here.
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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