Unknown Individual – Mental Health Counselor, NPI 1376585620

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Mental Health Counselor. They hold a License No. MH4249 (FL). The NPI Number for Unknown Individual is 1376585620

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376585620
Phone
(239) 275-1123
Address
12742 IVORY STONE LOOP
Deactivation Date
8 September 2021
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

  • 12742 IVORY STONE LOOP

    FORT MYERS, FL 339136743

    Phone: (239) 275-1123

    Fax: (407) 339-6520

    Type: Mailing

  • 283, Cranes Roost Boulevard, Altamonte Springs, Seminole County, Florida, 32701, United States

    SUITE 111

    ALTAMONTE SPRINGS, FL 327013418

    Phone: (407) 443-2719

    Fax: (407) 339-6520

    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 33913)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1376585620.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Fort Myers, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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