Unknown Individual – Professional Counselor, NPI 1356430656

Professional Counselor

Unknown Individual is a healthcare provider. based in Lithia springs, Georgia. specializing in Professional Counselor. They hold a License No. LPC003726 (GA). The NPI Number for Unknown Individual is 1356430656

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1356430656

Phone

(404) 786-9132

Address

561 THORNTON RD

Deactivation Date

22 May 2024

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

Thornton Road, Lithia Springs, Douglas County, Georgia, 30122, United States
SUITE R
LITHIA SPRINGS, GA 301221558
Phone: (404) 786-9132
Fax: (770) 941-5675
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 30122)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1356430656 in the public NPI dataset.

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 taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Lithia Springs, Georgia 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."