Unknown Individual – Counselor, NPI 1033201801

Unknown Individual is a healthcare provider. based in Mattoon, Illinois. specializing in Counselor. They hold a License No. 180000533 (IL). The NPI Number for Unknown Individual is 1033201801

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033201801
Phone
(217) 258-4042
Address
1005 HEALTH CENTER DRIVE
Deactivation Date
27 February 2025
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

  • 1005 HEALTH CENTER DRIVE

    SUITE 102

    MATTOON, IL 61938

    Phone: (217) 258-4042

    Fax: (217) 258-4053

    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 61938)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1033201801.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Mattoon, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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KATHY GARRETT

Counselor
Broadway Avenue East, Mattoon, Coles County, Illinois, 61938, United States
NPI: 1124166103