Unknown Individual – Mental Health Counselor, NPI 1790034536

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Mental Health Counselor. They hold a License No. IMH 8930 (FL). The NPI Number for Unknown Individual is 1790034536

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790034536
Phone
(727) 418-2874
Address
2717 SEVILLE BLVD APT#15209
Deactivation Date
12 June 2024
Data current as of
20 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

  • 2717 SEVILLE BLVD APT#15209

    CLEARWATER, FL 33764

    Phone: (727) 418-2874

    Type: Mailing

  • 17933 EAST RD

    HUDSON, FL 34667

    Phone: (727) 232-0119

    Fax: (727) 233-0628

    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

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33764)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1790034536 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Clearwater?
Unknown Individual currently maps to Clearwater, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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