Unknown Individual – Mental Health Counselor, NPI 1558462903

Unknown Individual is a healthcare provider. based in Summerfield, Florida. specializing in Mental Health Counselor. They hold a License No. MH1155 (FL). The NPI Number for Unknown Individual is 1558462903

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558462903
Phone
(352) 288-6482
Address
15885 SE 105 TERRACE
Deactivation Date
16 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

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Provider Addresses for Unknown Individual

  • 15885 SE 105 TERRACE

    SUMMERFIELD, FL 34491

    Phone: (352) 288-6482

    Fax: (352) 288-6482

    Type: Mailing

  • 129, South Old Dixie Highway, Lady Lake, Lake County, Florida, 32159, United States

    LADY LAKE, FL 321594351

    Phone: (352) 307-2888

    Fax: (352) 288-6482

    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 34491)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1558462903.
Does inactive mean outdated data for Unknown Individual?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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Summerfield, Florida?
If you are local to Summerfield, Florida, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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