Unknown Individual – Mental Health Counselor, NPI 1912125923

Unknown Individual is a healthcare provider. based in Merritt island, Florida. specializing in Mental Health Counselor. They hold a License No. MH4782 (FL). The NPI Number for Unknown Individual is 1912125923

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912125923
Phone
(321) 745-2815
Address
1470 S BANANA RIVER DR
Deactivation Date
7 May 2026
Data current as of
3 June 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

  • 1470 S BANANA RIVER DR

    MERRITT ISLAND, FL 329522802

    Phone: (321) 745-2815

    Fax: (321) 751-0079

    Type: Mailing

  • 3270 SUNTREE BLVD

    109

    MELBOURNE, FL 329407530

    Phone: (321) 751-0155

    Fax: (321) 751-0079

    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 32952)

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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 1912125923.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Merritt Island?
Public fields place Unknown Individual around Merritt Island, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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