Unknown Individual – Mental Health Counselor, NPI 1366776403

Unknown Individual is a healthcare provider. based in Carrollton, Georgia. specializing in Mental Health Counselor. They hold a License No. APC002008 (GA). The NPI Number for Unknown Individual is 1366776403

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366776403
Phone
(678) 524-1584
Address
109 DANNY DR APT C
Deactivation Date
24 January 2024
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

Provider Addresses for Unknown Individual

  • 109 DANNY DR APT C

    CARROLLTON, GA 301178733

    Phone: (678) 524-1584

    Fax: (777) 083-8442

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 30117)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1366776403 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Carrollton, Georgia because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1366776403. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MS. LAURA LEE CROFT (LPC)

Mental Health Counselor
523, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States
NPI: 1528095064

MS. ROBINETTE ALLISON MUSE (LPC)

Mental Health Counselor
504, South Park Street, Carrollton, Carroll County, Georgia, 30117, United States
NPI: 1235294372
217, Plantation Walk, Carrollton, Carroll County, Georgia, 30117, United States
NPI: 1689723322

MRS. LYDIA MAE ROLL (M.S.)

Mental Health Counselor
7106 E ISLEWAY CT
NPI: 1912030164

MS. SHARANDA KEITH (LPC, CPCS)

Professional Counselor
404 MICAH CT
NPI: 1124221585

MRS. KENYATTA WILSON (M.S.)

Mental Health Counselor
500, Old Bremen Road, Holly Heights, Carrollton, Carroll County, Georgia, 30117, United States
NPI: 1275710667

MS. FAYE RUTH CREEL (LPC)

Mental Health Counselor
707 OLD CAMP CHURCH ROAD
NPI: 1710144027

VICTORIA TIGNER REAVES (LPC)

Professional Counselor
2970 OAK GROVE CHURCH RD
NPI: 1730310616
1149 Cashtown Rd
NPI: 1477878460