Unknown Individual – Mental Health Counselor, NPI 1417036336

Unknown Individual is a healthcare provider. based in Pompano beach, Florida. specializing in Mental Health Counselor. They hold a License No. LMHC4970 (FL). The NPI Number for Unknown Individual is 1417036336

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417036336
Phone
(954) 725-3303
Address
4699 N FEDERAL HWY
Deactivation Date
22 November 2022
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

  • 4699, Federal Highway, Fairlawn, Pompano Beach, Broward County, Florida, 33064, United States

    SUITE 205 G

    POMPANO BEACH, FL 330646510

    Phone: (954) 725-3303

    Fax: (561) 732-4335

    Type: Location

  • 1466, Artimino Lane, Borgata, Boynton Beach, Palm Beach County, Florida, 33436, United States

    BOYNTON BEACH, FL 334361110

    Phone: (561) 732-7207

    Fax: (561) 732-4335

    Type: Mailing

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.

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 33064)

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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 1417036336.
Does inactive mean outdated data for Unknown Individual?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.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Pompano Beach, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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