Unknown Individual – Professional Counselor, NPI 1245388479

Unknown Individual is a healthcare provider. based in Norcross, Georgia. specializing in Professional Counselor. They hold a License No. LPC# 001340 (GA). The NPI Number for Unknown Individual is 1245388479

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245388479
Phone
(404) 230-9796
Address
4530 S BERKELEY LAKE RD
Deactivation Date
11 December 2025
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

Provider Addresses for Unknown Individual

  • 4530 S BERKELEY LAKE RD

    SUITE B

    NORCROSS, GA 300711660

    Phone: (404) 230-9796

    Fax: (770) 446-5643

    Type: Location

  • 530, Oakdale Road Northeast, Little Five Points, Druid Hills, Atlanta, DeKalb County, Georgia, 30307, United States

    ATLANTA, GA 303071606

    Phone: (404) 230-9796

    Type: Mailing

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 30071)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1245388479.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Norcross, 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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