Unknown Individual – Counselor, NPI 1710060710

Unknown Individual is a healthcare provider. based in College park, Georgia. specializing in Counselor. They hold a License No. LPC004468 (GA). The NPI Number for Unknown Individual is 1710060710

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710060710
Phone
(678) 481-9629
Address
2227 GODBY RD
Deactivation Date
21 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2227, Godby Road, Brandy Chase, Cooks Crossing, Atlanta, Fulton County, Georgia, 30349, United States

    SUITE 207

    COLLEGE PARK, GA 30349

    Phone: (678) 481-9629

    Fax: (404) 656-7789

    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.

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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 30349)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1710060710.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use College Park, Georgia as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.