Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1154472769

Addiction (Substance Use Disorder) Counselor

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. PC-0000068 (DE). The NPI Number for Unknown Individual is 1154472769

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1154472769

Phone

(302) 366-1328

Address

1201 STINSFORD RD

Deactivation Date

22 January 2026

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

1201 STINSFORD RD
NEWARK, DE 197133360
Phone: (302) 366-1328
Fax: (302) 366-1328
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.

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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 19713)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1154472769 for Unknown Individual, then check state licensing separately.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Addiction (Substance Use Disorder) Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for Unknown Individual?

Unknown Individual's geographic hint is Newark, Delaware in our summary view.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.