Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1871587360

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. SW3675 (FL). The NPI Number for Unknown Individual is 1871587360

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871587360
Phone
(904) 786-6763
Address
5070 ATTLEBORO ST
Deactivation Date
17 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5070, Attleboro Street, Murray Hill, Jacksonville, Duval County, Florida, 32205, United States

    JACKSONVILLE, FL 322056418

    Phone: (904) 786-6763

    Fax: (866) 369-1369

    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 32205)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1871587360 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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