Unknown Individual – Mental Health Counselor, NPI 1497734867

Unknown Individual is a healthcare provider. based in St augustine, Florida. specializing in Mental Health Counselor. They hold a License No. MH 6706 (FL). The NPI Number for Unknown Individual is 1497734867

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497734867
Phone
(904) 823-8787
Address
2200 N PONCE DE LEON BLVD
Deactivation Date
12 December 2024
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

  • Ponce de Leon Boulevard, St. Augustine, St. Johns County, Florida, 32084, United States

    SUITE 3

    ST AUGUSTINE, FL 320842600

    Phone: (904) 823-8787

    Fax: (904) 819-5330

    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.

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 32084)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1497734867 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
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 shows for Unknown Individual?
We surface St Augustine, Florida for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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