Unknown Individual – Mental Health Counselor, NPI 1659360048

Unknown Individual is a healthcare provider. based in St augustine, Florida. specializing in Mental Health Counselor. They hold a License No. MH4614 (FL). The NPI Number for Unknown Individual is 1659360048

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659360048
Phone
(904) 209-6028
Address
1955 US HIGHWAY 1 S
Deactivation Date
28 April 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

  • South Dixie Highway, West Augustine, Saint Augustine, Saint Johns County, Florida, 32084, United States

    SUITE C-2

    ST AUGUSTINE, FL 320863708

    Phone: (904) 209-6028

    Fax: (904) 209-6002

    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 32086)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1659360048.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use St Augustine, Florida as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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