Unknown Individual – Mental Health Counselor, NPI 1003928714

Unknown Individual is a healthcare provider. based in Cocoa, Florida. specializing in Mental Health Counselor. They hold a License No. MH5898 (FL). The NPI Number for Unknown Individual is 1003928714

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003928714
Phone
(321) 632-6891
Address
4760 CALAMONDIN AVE
Deactivation Date
7 February 2024
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

  • 4760 CALAMONDIN AVE

    COCOA, FL 329262018

    Phone: (321) 632-6891

    Type: Mailing

  • 3740 CURTIS BLVD

    SUITE 102

    COCOA, FL 329273962

    Phone: (321) 632-9929

    Fax: (321) 631-6187

    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 32926)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1003928714 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Cocoa, Florida on file for Unknown Individual alongside any extra practice locations.
What if Cocoa, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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