Unknown Individual – Professional Counselor, NPI 1790841401

Unknown Individual is a healthcare provider. based in Hephzibah, Georgia. specializing in Professional Counselor. They hold a License No. LPC003330 (GA). The NPI Number for Unknown Individual is 1790841401

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790841401
Phone
(706) 627-8733
Address
2571 TOBACCO RD APT D
Deactivation Date
25 November 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

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Provider Addresses for Unknown Individual

  • 2571 TOBACCO RD APT D

    HEPHZIBAH, GA 308157022

    Phone: (706) 627-8733

    Type: Mailing

  • 3114, Augusta Tech Drive, Glenn Hills, Augusta, Richmond County, Georgia, 30906, United States

    SUITE 201

    AUGUSTA, GA 309063300

    Phone: (706) 796-9785

    Fax: (706) 796-5279

    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 30815)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1790841401.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Hephzibah, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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