Unknown Individual – Marriage & Family Therapist, NPI 1386777811

Unknown Individual is a healthcare provider. based in Pinellas park, Florida. specializing in Marriage & Family Therapist. They hold a License No. IMT 301 (FL). The NPI Number for Unknown Individual is 1386777811

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386777811
Phone
(727) 631-1699
Address
4425 PARK BLVD
Deactivation Date
9 August 2023
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

Provider Addresses for Unknown Individual

  • 4425 PARK BLVD

    PINELLAS PARK, FL 337813540

    Phone: (727) 631-1699

    Fax: (727) 451-2010

    Type: Mailing

  • 5462 GRAND BLVD

    STE 301

    NEW PORT RICHEY, FL 346524002

    Phone: (727) 631-1699

    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.

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 33781)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1386777811 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 does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Pinellas Park, Florida on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1386777811. Always confirm identity and privileges with the practice and licensing boards.

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