Unknown Individual – Mental Health Counselor, NPI 1275832628

Unknown Individual is a healthcare provider. based in South daytona, Florida. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1275832628

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275832628
Phone
(386) 304-7600
Address
2400 S RIDGEWOOD AVE
Deactivation Date
28 September 2022
Data current as of
20 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

  • 2400 S RIDGEWOOD AVE

    SUITE 32

    SOUTH DAYTONA, FL 321193097

    Phone: (386) 304-7600

    Fax: (386) 304-7620

    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 32119)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1275832628 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes South Daytona, Florida for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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