Unknown Individual – Mental Health Counselor, NPI 1124001698

Unknown Individual is a healthcare provider. based in Titusville, Florida. specializing in Mental Health Counselor. They hold a License No. MH 3686 (FL). The NPI Number for Unknown Individual is 1124001698

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124001698
Phone
(321) 267-4334
Address
11 MAIN ST
Deactivation Date
4 March 2022
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

  • 11, Main Street, Titusville, Brevard County, Florida, 32796, United States

    SUITE 2

    TITUSVILLE, FL 327963562

    Phone: (321) 267-4334

    Fax: (321) 267-4334

    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 32796)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1124001698 on file in the registry.
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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Titusville?
Public fields place Unknown Individual around Titusville, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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