Unknown Individual – Professional Counselor, NPI 1871940437

Unknown Individual is a healthcare provider. based in Forest park, Georgia. specializing in Professional Counselor. They hold a License No. LPC010098 (GA). The NPI Number for Unknown Individual is 1871940437

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871940437
Phone
(336) 392-2744
Address
4659 RUBY LN
Deactivation Date
7 June 2023
Data current as of
20 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

  • 4659 RUBY LN

    FOREST PARK, GA 302973732

    Phone: (336) 392-2744

    Type: Mailing

  • 3941 Holcomb Bridge Rd Ste 100

    Peachtree Corners, GA 300922292

    Phone: (855) 850-0274

    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 30297)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1871940437 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Professional Counselor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Forest Park, Georgia as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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