Unknown Individual – Professional Counselor, NPI 1629127352

Unknown Individual is a healthcare provider. based in Broomfield, Colorado. specializing in Professional Counselor. They hold a License No. 180-000354 (IL). The NPI Number for Unknown Individual is 1629127352

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629127352
Phone
(309) 532-6150
Address
740 BURBANK ST
Deactivation Date
13 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 740, Burbank Street, Broomfield, City and County of Broomfield, Colorado, 80020, United States

    BROOMFIELD, CO 800201658

    Phone: (309) 532-6150

    Fax: (303) 438-8875

    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 80020)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1629127352 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Broomfield?
Unknown Individual currently maps to Broomfield, Colorado in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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