Unknown Individual – Professional Counselor, NPI 1720012909

Unknown Individual is a healthcare provider. based in Snellville, Georgia. specializing in Professional Counselor. They hold a License No. LPC 000862 (GA). The NPI Number for Unknown Individual is 1720012909

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720012909
Phone
(678) 697-4033
Address
1879 LAMPLIGHTER WAY
Deactivation Date
3 December 2020
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

  • 1879 LAMPLIGHTER WAY

    SNELLVILLE, GA 300782172

    Phone: (678) 697-4033

    Type: Mailing

  • 750 LONGLEAF BLVD STE D

    LAWRENCEVILLE, GA 300458459

    Phone: (678) 697-4033

    Type: Location

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

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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 30078)

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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 1720012909.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Professional Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Snellville, Georgia for Unknown Individual; expand the address list for detail.
What if Snellville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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