Unknown Individual – Professional Counselor, NPI 1063661510

Unknown Individual is a healthcare provider. based in Griffin, Georgia. specializing in Professional Counselor. They hold a License No. LPC003114 (GA). The NPI Number for Unknown Individual is 1063661510

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063661510
Phone
(770) 228-3156
Address
615 WINDY HILL RD
Deactivation Date
9 August 2023
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

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Provider Addresses for Unknown Individual

  • 615, Windy Hill Road, Griffin, Spalding County, Georgia, 30224, United States

    GRIFFIN, GA 302245330

    Phone: (770) 228-3156

    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.

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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 30224)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1063661510 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Griffin, Georgia because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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