Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1811228745

Unknown Individual is a healthcare provider. based in Groton, Connecticut. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 000512 (CT). The NPI Number for Unknown Individual is 1811228745

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811228745
Phone
(860) 449-9947
Address
1353 GOLD STAR HWY
Deactivation Date
11 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 1353, Gold Star Highway, Burnett's Corner Historic District, Center Groton, Groton, Southeastern Connecticut Planning Region, Connecticut, 06340, United States

    GROTON, CT 063402739

    Phone: (860) 449-9947

    Fax: (860) 445-0414

    Type: Mailing

  • 189, Storrs Road, Conantville, Mansfield, Tolland County, Connecticut, 06250, United States

    MANSFIELD CENTER, CT 062501683

    Phone: (860) 449-9947

    Fax: (860) 445-0414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 06340)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1811228745.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Groton, Connecticut?
If you are local to Groton, Connecticut, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

ELISHA LOGAN (MA,LPC, LADC)

Professional Counselor
92 TURTLE BAY DR
NPI: 1366520637

JANINE M PILNEY (LADC)

Addiction (Substance Use Disorder) Counselor
1353 GOLD STAR HWY
NPI: 1760507487

MRS. KATHLEEN E SKRABACZ (LADC)

Addiction (Substance Use Disorder) Counselor
214, Thames Street, Groton Bank Historic District, Groton, New London County, Connecticut, 06340, United States
NPI: 1497938559

JENNIFER LYNN KOLLAR (M.A.)

Addiction (Substance Use Disorder) Counselor
166 LEDGEWOOD RD
NPI: 1912226424

MS. JESSICA M GAGNON (LCSW)

Clinical Social Worker
428 LONG HILL RD # 201
NPI: 1194038174
1353 GOLD STAR HWY
NPI: 1457614190

THERESA MAMIE I CHARLES

Addiction (Substance Use Disorder) Counselor
542 LONGHILL ROAD
NPI: 1255769576

MYSTIC MEDICAL ASSOCIATES LLC

Primary Care Clinic/Center
12 ROOSEVELT AVE
NPI: 1972954477
Farmington Avenue, Unionville, Farmington, Hartford County, Connecticut, 06032, United States
NPI: 1275051724