Unknown Individual – Counselor, NPI 1174567200

Unknown Individual is a healthcare provider. based in Opa locka, Florida. specializing in Counselor. The NPI Number for Unknown Individual is 1174567200

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174567200
Phone
(305) 621-1455
Address
4469 NW 167TH ST
Deactivation Date
27 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4469 NW 167TH ST

    OPA LOCKA, FL 330554311

    Phone: (305) 621-1455

    Fax: (305) 621-5508

    Type: Location

  • 11031, Northeast 6th Avenue, Miami Shores, Miami-Dade County, Florida, 33161, United States

    MIAMI, FL 331617182

    Phone: (305) 398-6100

    Fax: (305) 757-4465

    Type: Mailing

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.

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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 33055)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1174567200 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Opa Locka, Florida because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1174567200. Always confirm identity and privileges with the practice and licensing boards.

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