Unknown Individual – Counseling Psychologist, NPI 1487724274

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Counseling Psychologist. They hold a License No. 2293 (GA). The NPI Number for Unknown Individual is 1487724274

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487724274
Phone
(404) 818-6052
Address
1945 MASON MILL RD
Deactivation Date
6 July 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

  • 1945, Mason Mill Road, North Druid Hills, DeKalb County, Georgia, 30033, United States

    STE 100

    DECATUR, GA 300334006

    Phone: (404) 818-6052

    Fax: (404) 321-4887

    Type: Location

  • 4255, Oak Avenue, Tucker, DeKalb County, Georgia, 30084, United States

    TUCKER, GA 300843523

    Phone: (404) 406-1764

    Fax: (404) 321-4887

    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 30033)

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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 1487724274 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Decatur, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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