Unknown Individual – Mental Health Counselor, NPI 1083045579

Unknown Individual is a healthcare provider. based in Brookfield, Connecticut. specializing in Mental Health Counselor. They hold a License No. 001011 (CT). The NPI Number for Unknown Individual is 1083045579

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083045579
Phone
(203) 417-0144
Address
246 FEDERAL RD STE CL41
Deactivation Date
7 December 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 246 FEDERAL RD STE CL41

    BROOKFIELD, CT 068042650

    Phone: (203) 417-0144

    Type: Location

  • 8 MAZUR DR

    DANBURY, CT 068113824

    Phone: (203) 417-0144

    Type: Mailing

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

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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 06804)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1083045579 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Connecticut?
You will see Brookfield, Connecticut on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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