Unknown Individual – Mental Health Counselor, NPI 1164490132

Unknown Individual is a healthcare provider. based in Rockford, Illinois. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1164490132

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164490132
Phone
(815) 968-5433
Address
852 LAKEWOOD DR
Deactivation Date
15 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 852, Lakewood Drive, Westmoreland, Rockford Township, Winnebago County, Illinois, 61102, United States

    ROCKFORD, IL 611021228

    Phone: (815) 968-5433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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 61102)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1164490132 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Rockford?
Public fields place Unknown Individual around Rockford, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.