Unknown Individual – Mental Health Counselor, NPI 1043289424

Unknown Individual is a healthcare provider. based in Fernandina beach, Florida. specializing in Mental Health Counselor. They hold a License No. CSW001319 (GA). The NPI Number for Unknown Individual is 1043289424

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1043289424
Phone
(904) 270-4280
Address
PO BOX 6384
Deactivation Date
15 March 2023
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

  • PO BOX 6384

    FERNANDINA BEACH, FL 320356384

    Phone: (904) 270-4280

    Type: Mailing

  • Naval Hospital Jacksonville, 2080, Child Street, Jacksonville, Duval County, Florida, 32214, United States

    JACKSONVILLE, FL 322145005

    Phone: (904) 270-4280

    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 32035)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1043289424 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Fernandina Beach, Florida 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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