Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1205900651

Unknown Individual is a healthcare provider. based in Orange park, Florida. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CAP1893L (FL). The NPI Number for Unknown Individual is 1205900651

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205900651
Phone
(904) 269-4783
Address
56 MITCHELL AVE
Deactivation Date
20 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 56 MITCHELL AVE

    ORANGE PARK, FL 320735965

    Phone: (904) 269-4783

    Fax: (904) 269-2949

    Type: Mailing

  • 1950, Miller Street, Orange Park, Clay County, Florida, 32073, United States

    SUITE 6

    ORANGE PARK, FL 320734759

    Phone: (904) 269-5356

    Fax: (904) 269-2088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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 32073)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1205900651 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Orange Park, Florida in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.