Unknown Individual – Professional Counselor, NPI 1770620072

Unknown Individual is a healthcare provider. based in Waycross, Georgia. specializing in Professional Counselor. They hold a License No. LPC004684 (GA). The NPI Number for Unknown Individual is 1770620072

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770620072
Phone
(912) 281-2809
Address
PO BOX 517
Deactivation Date
5 August 2021
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

  • PO BOX 517

    WAYCROSS, GA 315020517

    Phone: (912) 281-2809

    Type: Mailing

  • 3145 BANKS RD

    WAYCROSS, GA 315036904

    Phone: (912) 281-2809

    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

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 31502)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1770620072; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Waycross, Georgia for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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