Unknown Individual – Mental Health Counselor, NPI 1265563811

Unknown Individual is a healthcare provider. based in Lauderdale lakes, Florida. specializing in Mental Health Counselor. They hold a License No. SW3105 (FL). The NPI Number for Unknown Individual is 1265563811

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265563811
Phone
(954) 486-4005
Address
4740 N STATE ROAD 7
Deactivation Date
19 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4740 N STATE ROAD 7

    LAUDERDALE LAKES, FL 333195839

    Phone: (954) 486-4005

    Fax: (954) 497-3857

    Type: Mailing

  • 2900 W PROSPECT RD

    FORT LAUDERDALE, FL 333092519

    Phone: (954) 677-3113

    Fax: (954) 497-3857

    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.

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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 33319)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1265563811?
NPI 1265563811 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
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.
What practice footprint exists for Unknown Individual?
Travel planning: use Lauderdale Lakes, Florida as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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