Unknown Individual – Professional Counselor, NPI 1710090352

Unknown Individual is a healthcare provider. based in Milford, Connecticut. specializing in Professional Counselor. They hold a License No. 0000352 (CT). The NPI Number for Unknown Individual is 1710090352

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710090352
Phone
(203) 878-3357
Address
5 ROGERS AVE
Deactivation Date
4 March 2021
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

  • 5, Rogers Avenue, Fort Trumbull, Milford, South Central Connecticut Planning Region, Connecticut, 06460, United States

    MILFORD, CT 064606436

    Phone: (203) 878-3357

    Fax: (203) 878-0114

    Type: Mailing

  • First United Church of Christ, 34, West Main Street, Fort Trumbull, Milford, South Central Connecticut Planning Region, Connecticut, 06460, United States

    MILFORD, CT 064603310

    Phone: (203) 877-7713

    Fax: (203) 877-7713

    Type: Location

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 06460)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1710090352 — 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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Connecticut is Unknown Individual registered?
Use Milford, Connecticut as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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