Unknown Individual – Mental Health Counselor, NPI 1205012572

Unknown Individual is a healthcare provider. based in Effingham, Illinois. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1205012572

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205012572
Phone
(217) 347-7179
Address
1200 N 4TH ST
Deactivation Date
14 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1200, North 4th Street, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624013032

    Phone: (217) 347-7179

    Type: Location

  • 213, North Calhoun Street, Sullivan, Moultrie County, Illinois, 61951, United States

    SULLIVAN, IL 619511607

    Phone: (217) 728-4144

    Type: Mailing

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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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62401)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1205012572?
NPI 1205012572 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Effingham, Illinois.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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