Unknown Individual – Mental Health Counselor, NPI 1104952894

Unknown Individual is a healthcare provider. based in Rehoboth beach, Delaware. specializing in Mental Health Counselor. They hold a License No. PC0000156 (DE). The NPI Number for Unknown Individual is 1104952894

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104952894
Phone
(302) 226-3661
Address
125 LANDING DR
Deactivation Date
22 January 2026
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

Provider Addresses for Unknown Individual

  • 125 LANDING DR

    REHOBOTH BEACH, DE 199719766

    Phone: (302) 226-3661

    Fax: (302) 226-9070

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19971)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1104952894 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Rehoboth Beach, Delaware in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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