Unknown Individual – Professional Counselor, NPI 1154336980

Professional Counselor

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Professional Counselor. They hold a License No. LPC003539 (GA). The NPI Number for Unknown Individual is 1154336980

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1154336980

Phone

(404) 288-4205

Address

2121 CHEVY CHASE LN

Deactivation Date

22 February 2023

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

2121 CHEVY CHASE LN
DECATUR, GA 300326122
Phone: (404) 288-4205
Type: Mailing
Connally Drive, East Point, Georgia, 30344, United States
EAST POINT, GA 303442558
Phone: (404) 762-4042
Fax: (404) 762-3114
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.

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 30032)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1154336980 uniquely identifies Unknown Individual in U.S. healthcare data.

Does inactive mean outdated data for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Professional Counselor. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Decatur, Georgia in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.