Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1114065430

Unknown Individual is a healthcare provider. based in Seminole, Florida. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CERTIFICATE 2609 (FL). The NPI Number for Unknown Individual is 1114065430

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114065430
Phone
(727) 393-8702
Address
10650 VILLAGE DRIVE
Deactivation Date
1 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 10650, Village Drive, Seminole, Pinellas County, Florida, 33772, United States

    A204

    SEMINOLE, FL 33772

    Phone: (727) 393-8702

    Fax: (727) 394-8299

    Type: Mailing

  • 8383, Seminole Boulevard, Seminole, Pinellas County, Florida, 33772, United States

    6

    SEMINOLE, FL 33772

    Phone: (727) 393-8702

    Fax: (727) 394-8299

    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.

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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 33772)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1114065430 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
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.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Seminole, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.